Jnl 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 (eFirst)

Abstract

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.