J Wrist Surg 2019; 08(03): 176-179
DOI: 10.1055/s-0039-1685488
Special Review: Madelung's Deformity
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

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

Satish Babu
1   Frimley Park Hospital, Portsmouth Road, Frimley, United Kingdom
Joseph Turner
2   East Surrey Hospital, Canada Avenue, Redhill, United Kingdom
Sheena Seewoonarain
3   St. Richard's Hospital, Spitalfield Lane, Chichester, United Kingdom
Sanjay Chougule
4   East Surrey Hospital, Canada Avenue, Redhill, United Kingdom
› Author Affiliations
Further Information

Publication History

22 December 2018

04 March 2019

Publication Date:
22 April 2019 (online)


Madelung'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.