scholarly journals Reverse wedge osteotomy for Madelung’s deformity in a high school student: A case report

2021 ◽  
Vol 9 ◽  
pp. 2050313X2110498
Author(s):  
Tsuyoshi Tajika ◽  
Takuro Kuboi ◽  
Fumitaka Endo ◽  
Yuhei Hatori ◽  
Hirotaka Chikuda
Keyword(s):  
Case Report ◽  
Distal Radius ◽  
Joint Surface ◽  
Wedge Osteotomy ◽  
Growth Disturbance ◽  
Left Wrist ◽  
Ulnar Head ◽  
Madelung Deformity ◽  
Volar Aspect ◽  
Madelung’S Deformity

Madelung deformity is a congenital disorder with the malformation of anterior ulnar bowing of radius and a dorsally protruding ulnar head caused by premature growth disturbance at the medial volar aspect of the distal radius. This report describes a bilateral idiopathic Madelung deformity in a 17-year-old woman treated successfully using reverse wedge osteotomy of the distal radius in a symptomatic left wrist. Reverse wedge osteotomy can orient the radial joint surface while correcting the whole radius length by reversely putting the wedge bone removed from the distal metaphysis of radius, the base of which is cut from the surplus of the radial and dorsal cortical bone in the hypotrophic portion. We corrected the palmar subluxation of the carpus, restored her good function, and relieved her wrist pain.

scholarly journals Madelung’s Deformity: Reverse Wedge Osteotomy of the Distal Radius Associate Ulnar Wedge Osteotomy: A Case Report

2018 ◽  
Vol 08 (02) ◽  
pp. 33-38
Author(s):  
Kouassi Kouamé Jean Eric ◽  
Sery Bada Justin Leopoeld Niaoré ◽  
Yao Loukou Blaise ◽  
M’bra Kouame Innocent ◽  
Krah Koffi Léopold ◽  
...  
Keyword(s):  
Case Report ◽  
Distal Radius ◽  
Wedge Osteotomy ◽  
Madelung’S Deformity

scholarly journals Reverse wedge osteotomy of the distal radius in Madelung's deformity

2013 ◽  
Vol 99 (4) ◽  
pp. S279-S283 ◽  
Author(s):  
F. Mallard ◽  
J. Jeudy ◽  
F. Rabarin ◽  
G. Raimbeau ◽  
P.-A. Fouque ◽  
...  
Keyword(s):  
Distal Radius ◽  
Wedge Osteotomy ◽  
Madelung’S Deformity

Madelung’s Deformity: Radial Opening Wedge Osteotomy and Modified Darrach Procedure Using the Ulnar Head as Trapezoidal Bone Graft

2010 ◽  
Vol 35 (9) ◽  
pp. 708-714 ◽  
Author(s):  
R. Kampa ◽  
A. Al-Beer ◽  
T. Axelrod
Keyword(s):  
Bone Graft ◽  
Wedge Osteotomy ◽  
Iliac Crest Bone Graft ◽  
Range Of Movement ◽  
Opening Wedge ◽  
Ulnar Head ◽  
Age At Surgery ◽  
Removal Of Hardware ◽  
Clinical And Radiological Results ◽  
Madelung’S Deformity

Surgery may be indicated in treating Madelung’s deformity and numerous techniques have been described. This study reports the early clinical and radiological results of a radial biplanar opening wedge osteotomy and modified Darrach procedure, using the excised ulnar head as a trapezoidal bone graft. Between 2000 and 2008, five adult wrists with symptomatic Madelung’s deformity underwent surgery. All patients were female, with an average age at surgery of 34 years. Assessment included range of movement, grip strength, DASH scores and radiological imaging. All patients improved both subjectively and objectively with regards to pain, functional range of movement, and appearance at mean follow-up of 55 months (range 14—113). All osteotomies united. One patient required removal of hardware for restricted rotation. This technique provided satisfactory results that are comparable to other studies, and avoids the use of iliac crest bone graft.

scholarly journals Single-stage Distal Radius Dome Osteotomy with Ulnar Diaphyseal Shortening and Distal Ulnar Epiphysiodesis in A Case of Manus Valgus Deformity Secondary to Post-Traumatic Physeal Growth Arrest – A Case Report

2021 ◽  
Vol 11 (5) ◽  
Author(s):  
Aniruddha Sinha Sarkar ◽  
Ranadeb Bandyopadhyay ◽  
Pathikrit Guha Niyogi
Keyword(s):  
Case Report ◽  
Grip Strength ◽  
Distal Radius ◽  
Growth Arrest ◽  
Valgus Deformity ◽  
Left Wrist ◽  
Radial Inclination ◽  
Radial Deviation ◽  
Dome Osteotomy ◽  
Post Traumatic

Introduction: Distal radius physeal growth arrest in children secondary to trauma is a rare complication. Various modalities of surgical treatment exist. Correction of severe deformity by a single-stage surgery is rare in current literature. We describe a case of surgically treated post-traumatic manus valgus deformity in an adolescent female with a satisfactory surgical outcome. Case Report: A 13-year-old right-hand dominant girl presented to us with a painless, gradually progressive left wrist deformity for the past 3 years. She sustained a left wrist injury 3.5 years back for which she received native treatment. She was able to do most of her daily activities and cosmetic disability was her primary concern. She had a 20° fixed radial deviation deformity with further radial deviation up to 60°. Forearm rotation was from 70° supination to 60° pronation. Her pre-operative Mayo Modified Wrist Score was 25/10/10/25/70 (Pain/Satisfaction/Range of motion/Grip strength/Total). Radiologically, there was the obliteration of lateral distal radial physis with overgrowth of medial physis. Distal ulnar physeal overgrowth led to positive ulnar variance. Radiologically, the magnitude of deformity was 43° manus valgus (+24° radial inclination). We performed dome osteotomy at distal radius metaphysis with distal radius plating through modified Henry approach. Simultaneous ulnar diaphyseal shortening osteotomy with plate fixation was done through a dorsal approach and distal ulnar epiphysiodesis was done by physeal drilling to prevent future overgrowth. At 13 months follow-up, the wrist has clinically no deformity and radiologically 5° manus valgus (+24° radial inclination). Both the osteotomy sites have united and ulnar variance is restored. Now, her ulnar deviation was 20° and radial deviation was 30°. Her forearm rotational arc was maintained. Mayo Modified Wrist Score was 25/25/10/25/85 (Pain/Satisfaction/Range of motion/Grip strength/Total) with no hindrance of daily activity.

Open Wedge Osteotomy with Ulnar Shortening for Madelung Deformity Using a Computer-Generated Template

2017 ◽  
Vol 22 (04) ◽  
pp. 538-543 ◽  
Author(s):  
Sho Yanagisawa ◽  
Takehiko Takagi ◽  
Tsuyoshi Murase ◽  
Yuka Kobayashi ◽  
Masahiko Watanabe
Keyword(s):  
Corrective Osteotomy ◽  
Wedge Osteotomy ◽  
Open Wedge ◽  
Open Wedge Osteotomy ◽  
Rotational Angle ◽  
Parallel Displacement ◽  
Excellent Outcome ◽  
Radial Inclination ◽  
Ulnar Head ◽  
Madelung Deformity

A variety of osteotomies have been reported to correct Madelung deformity using plain radiographs. However, evaluation of the deformity using 2-dimensional plain radiography is difficult because of its complex 3-dimensional nature. Therefore, we performed corrective osteotomy using recently developed 3D simulation technology on an adult woman with Madelung deformity, and achieved an excellent outcome. In this study, we calculated the amount of parallel displacement as well as the rotational angle for more precise correction, and performed open wedge osteotomy. Furthermore, we performed concurrent ulnar shortening. An exaggerated radial inclination was observed in the posteroanterior radiograph. A palmar shift of the carpus and dorsal dislocation of the ulnar head were observed in the lateral radiograph. In the preoperative findings, radial inclination (RI), volar tilt (VT), and ulnar variance (UV) were 35°, 40°, and 12 mm, respectively. The wrist showed improvement, with an RI of 25°, VT of 14°, and UV of 0 mm. At present, 14 months after surgery, there has been no loss of correction, instability of the ulnar head, or pain on the ulnar side. The procedure resulted in improvements in the protrusion and pain in the ulnar portion of the patient’s wrist. Based on this result, we believe that accurate corrective osteotomy with ulnar shortening should be performed for Madelung deformity.

Reverse Wedge Osteotomy of the Distal Radius in Madelung Deformity: About 12 Cases

2013 ◽  
Vol 38 (10) ◽  
pp. e23
Author(s):  
Florence Mallard ◽  
Yann Saint Cast ◽  
Guy Raimbeau ◽  
Bruno D. Cesari ◽  
Fabrice Rabarin
Keyword(s):  
Distal Radius ◽  
Wedge Osteotomy ◽  
Madelung Deformity

Long-Term Follow-Up of Surgical Correction of Madelung’s Deformity with Conservation of the Distal Radioulnar Joint in Teenagers

2000 ◽  
Vol 25 (1) ◽  
pp. 22-25 ◽  
Author(s):  
A. SALON ◽  
M. SERRA ◽  
J. C. POULIQUEN
Keyword(s):  
Distal Radioulnar Joint ◽  
Surgical Correction ◽  
Wedge Osteotomy ◽  
Radioulnar Joint ◽  
Ulnar Head ◽  
Shortening Osteotomy ◽  
Long Term Follow Up ◽  
Madelung’S Deformity

Eleven wrists with painful Madelung deformity in seven patients were corrected during adolescence by a closing wedge osteotomy of the radius and a shortening osteotomy of the ulna, with conservation of the distal radioulnar joint. At late follow-up (9.7 years) function was considerably improved. When the ulnar head was correctly relocated during operation, a new distal radioulnar space developed. Shortening of the ulna must be generous and combined with slight flexion at the osteotomy.

scholarly journals Madelung's Deformity of the Wrist—Current Concepts and Future Directions

2019 ◽  
Vol 08 (03) ◽  
pp. 176-179
Author(s):  
Satish Babu ◽  
Joseph Turner ◽  
Sheena Seewoonarain ◽  
Sanjay Chougule
Keyword(s):  
Distal Radius ◽  
Three Dimensional ◽  
Deformity Correction ◽  
Future Directions ◽  
Three Dimensional Printing ◽  
Eos Imaging ◽  
Volar Aspect ◽  
Dome Osteotomy ◽  
Dimensional Printing ◽  
Madelung’S Deformity

AbstractMadelung's deformity of the wrist arises from premature closure of the medial and volar aspect of the distal radial physis. True Madelung deformities reveal the presence of a “Vickers” ligament which is a short, volar, radioulnar ligament. Clinically, patients report increasing deformity, pain, and poor range of motion. Radiological features include increased radial inclination, volar tilt of the distal radius, and a positive ulnar variance. Surgical intervention usually comprises either a “Vickers” ligament release and distal radius physiolysis or a radial dome osteotomy. In future, EOS Imaging could aid diagnosis by providing more detailed images of the deformity while minimizing radiation exposure. Furthermore, three-dimensional printing and computer-navigated deformity correction could revolutionize management by facilitating simulation training, expediting surgery, and reducing intraoperative error.

scholarly journals A Case Report of Wedge Osteotomy of Radius with Sauve-Kapandji Method in Madelung's Deformity.

2000 ◽  
Vol 49 (3) ◽  
pp. 832-835 ◽  
Author(s):  
Hiroshi Murakami ◽  
Shoichi Kawagoe ◽  
Ryuji Kuroki ◽  
Mitsuru Tanihata ◽  
Naoya Tajima
Keyword(s):  
Case Report ◽  
Wedge Osteotomy ◽  
Madelung’S Deformity
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