State of the art review: The pathogenesis and management of Madelung deformity

J Hand Surg Eur Vol. 2023 Dec;48(11):1116-1125. doi: 10.1177/17531934231191208. Epub 2023 Aug 12.

Abstract

Madelung deformity remains a fascinating yet unresolved challenge. There is an increasing awareness for early diagnosis by healthcare providers with improvement in diagnostic modalities, however, the exact mechanisms for the development of the deformity have still to be clarified. While some corrective procedures have been described to effectively address an established deformity, the existing literature lacks clear and evidence-based treatment guidelines on how to proceed in daily practice. This review article aims to summarize the current best evidence on this topic, including particular areas of controversy and areas with need for future research.

Keywords: Madelung deformity; PROMIS; Vickers ligament; lunate subsidence; osteotomy; physiolysis.

Publication types

  • Review

MeSH terms

  • Dioctyl Sulfosuccinic Acid
  • Growth Disorders*
  • Humans
  • Osteochondrodysplasias*
  • Osteotomy / methods
  • Radius

Substances

  • Dioctyl Sulfosuccinic Acid

Supplementary concepts

  • Madelung Deformity