Acquired madelung-like deformity in a gymnast

Vender, Michael I.; Watson, H. Kirk

doi:10.1016/0363-5023(88)90192-x

Cited by 60 publications

(34 citation statements)

References 11 publications

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“…Post-traumatic Madelung deformity results from injury to the medial volar physis of the distal radius. It may result from acute or repetitive axial loading trauma, an injury frequently incurred by gymnasts [25,26]. In these individuals, the medial volar portion of the distal radial physis sustains cumulative microtrauma from repetitive axial-loading maneuvers.…”

Section: Madelung-type Deformity Post-traumaticmentioning

confidence: 99%

Madelung deformity and Madelung-type deformities: a review of the clinical and radiological characteristics

et al. 2015

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Madelung deformity of the distal radius results from premature closure of the medial volar aspect of the distal radial physis, leading to increased volar tilt and increased inclination of the radial articular surface, triangulation of the carpus with proximal migration of the lunate and dorsal displacement of the distal ulna. The deformity is particularly common in Leri-Weill dyschondrosteosis, but it may also occur in isolation. True Madelung deformity can be differentiated from Madelung-type deformities by the presence of an anomalous radiolunate ligament (Vickers ligament). In this article, we will review the imaging characteristics of true Madelung deformity, including the common "distal radius" variant, the less common "entire radius" variant and "reverse" Madelung deformity. We will discuss the role of the Vickers ligament in disease pathogenesis and its use in differentiating true Madelung deformity from Madelung-type deformities arising from trauma or multiple hereditary exostoses. Surgical management of these patients will also be addressed.

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Section: Madelung-type Deformity Post-traumaticmentioning

confidence: 99%

Madelung deformity and Madelung-type deformities: a review of the clinical and radiological characteristics

et al. 2015

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“…18 -20 Madelung observed only acquired deformities, which are those deformities with very mild or abnormal physical findings, are unilateral, or are found in patients with a history of repetitive stress and/or injury. 4,19 Madelung and other surgeons of his time experimented with different treatments to reduce the wrist subluxation. The goals of surgery were to gain range of motion, reduce pain, and correct the deformity.…”

Section: Past and Current Views Of Madelung's Deformitymentioning

confidence: 99%

Otto W. Madelung and the Recognition of Madelung’s Deformity

Arora

Chung

2006

The Journal of Hand Surgery

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“…[4][5][6][7] International federation for societies for surgery of the hand classifies Madelung deformity under generalized abnormalities and syndromes at number 7. 8 We have used Vander and Watson classification in our study as it is the most informative and comprehensive.…”

Section: Introductionmentioning

confidence: 99%

“…8 We have used Vander and Watson classification in our study as it is the most informative and comprehensive. 7 Based on this classification Madelung deformity can be classified aspost-traumatic, dysplastic, genetic and Idiopathic. The first category can be expanded to include others besides trauma like infection or neoplasm.…”

Section: Introductionmentioning

confidence: 99%

Early outcome in Madelung’s and Madelung like deformity of wrist in adolescent group

Gupta

Garg

2016

Int J Res Orthop

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Background: Madelung deformity is the result of bony and ligamentous dysplasia at the wrist that produces characteristic deformity and is usually recognized in late adolescence. Madelung like deformity can occur following trauma, infection or neoplasm. This esthetic deformity is encountered rarely in orthopaedic practice, when surgeon faces the challenging task to correct it using the best available technique. This study has been conducted to analyze the presentation, interventional procedures and their end result.Methods: We retrospectively analyze the clinical records, radiographs and functional outcome of patients who presented with Madelung and Madelung like deformity. Radiographic and clinical assessment was done. Surgery was considered for patients fitting into the inclusion criteria. Dorsolateral close wedge and palmar open wedge osteotomy of radius were done with or without ulnar procedure. Postoperative protocol was followed and periodic assessment was done. Mayo modified wrist score has been used to evaluate the pre-operative and post-operative scores.Results: The study enrolled sixteen affected wrists. Average age in our study was 14 years with an average follow-up of 12 months. Statistically significant increase in range of motion of wrist was achieved for in surgically treated patients. Significant change in pain score, grip strength, RAU° and carpal slip was noted. Postoperative wrist score was also significantly improved.Conclusions: Our study concludes that there is a definitive role of surgical intervention to improve the range of motion of wrist, grip strength and reduces pain which brings the patient back into the main stream of a functionally independent being.

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Acquired madelung-like deformity in a gymnast

Cited by 60 publications

References 11 publications

Madelung deformity and Madelung-type deformities: a review of the clinical and radiological characteristics

Madelung deformity and Madelung-type deformities: a review of the clinical and radiological characteristics

Otto W. Madelung and the Recognition of Madelung’s Deformity

Early outcome in Madelung’s and Madelung like deformity of wrist in adolescent group

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