Isolated Wedge Osteotomy of the Ulna for Mild Madelung’s Deformity

Glard, Yann; Gay, A.; Launay, Franck; Guinard, D.; Legré, R.

doi:10.1016/j.jhsa.2007.05.015

Cited by 18 publications

(9 citation statements)

References 29 publications

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“…They felt that this simple procedure was appropriate for milder cases of Madelung's deformity with isolated ulnar-sided symptoms. Similar results were noted in a small retrospective study of four skeletally mature wrists with mild Madelung's deformity that underwent an ulnar shortening wedge osteotomy to improve appearance and lessen ulnar sided pain by improving DRUJ congruity (Glard et al, 2007). Ranawat et al (1975) operated on 13 wrists; seven had a Darrach procedure, one an ulnar shortening, and five a Darrach procedure combined with a biplanar radial osteotomy.…”

Section: Discussionsupporting

confidence: 75%

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

Kampa

Al-Beer

Axelrod

2010

J Hand Surg Eur Vol

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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.

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Section: Discussionsupporting

confidence: 75%

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

Kampa

Al-Beer

Axelrod

2010

J Hand Surg Eur Vol

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“…Many different procedures have been described to treat symptomatic Madelung deformity, including multiple variations on wedge osteotomies of the radius with or without shortening of the ulna [14][15][16][17][18] , primarily procedures on the ulnar side of the wrist such as Darrach procedures and ulnar shortening osteotomies 13,19,20 , correction utilizing Ilizarov techniques 21 , and distal radial physiolysis 6 . Of all of these, the only procedure that addresses the site of the deformity is distal radial physiolysis as described by Vickers and Nielsen 6 .…”

Section: Discussionmentioning

confidence: 99%

Volar Ligament Release and Distal Radial Dome Osteotomy for the Correction of Madelung Deformity: Long-Term Follow-up

Steinman

Oishi

Mills

et al. 2013

Journal of Bone and Joint Surgery

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Volar ligament release and distal radial dome osteotomy for Madelung deformity provides lasting correction of the deformity. Long-term follow-up shows maintenance of original radiographic correction with good to excellent functional outcome. Patients with radiographic evidence of more severe disease preoperatively and the whole bone variety of Madelung deformity have poorer radiographic outcomes and trend toward poorer functional outcomes.

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“…Ahora se pueden utilizar dispositivos de osteotomía mínimamente invasivos, lo que posibilita un procedimiento igualmente eficaz y más biológico. 40,41 Pacientes con cambios degenerativos Artroplastia de la ARCD (técnica quirúrgica) Los pacientes con DM avanzada cuyos tratamientos en etapas tempranas han sido insuficientes o retrasados pueden desarrollar síntomas severos de inestabilidad de la ARCD, limitación severa de la pronosupinación, y prominencia relevante del cúbito distal. Los procedimientos de Darrach y Sauvé-Kapandji se han descrito clásicamente (►Fig.…”

Section: Esqueleto Maduro Sin Cambios Degenerativosunclassified

“…La mayoría de los tratamientos propuestos para la DM abordan los cambios en el lado cubital de la muñeca. [40][41][42]44 Estas técnicas no tienen como objetivo corregir la deformidad del radio de la cara volar de la fosa semilunar, el sitio de origen de la enfermedad. No existe una descripción de la corrección intraarticular de los cambios radiocarpianos como hay para otros cambios de la superficie de la articulación del radio distal.…”

Section: Conceptos De Los Autores En La Literaturaunclassified

Madelung Deformity: Diagnosis and Treatment Options

Oliveira

Ribak

Brunelli

et al. 2021

Revista Iberoamericana de Cirugía de la Mano

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Madelung deformity (MD) comprises an increased volar and ulnar tilt of the joint facet of the distal radius, secondary to an idiopathic physeal dysplasia. Such change causes radial shortening and consequent distal ulnar prominence, along with wrist pain and loss of motion. Surgery becomes an option in patients with severe deformity that do not respond to conservative treatment.The classic surgical techniques are problematic for adults, as they are specific for children and adolescents, whose radial physis is still open. Very few papers discuss the treatment of adult patients; furthermore, most are focused on the distal radioulnar joint, and thus do not approach the origin of the pathology.When analyzing computed tomography scans with tridimensional reconstruction, a feature of MD, growth arrest of the volar and ulnar portions of the distal radius, is noted, causing the typical distal radius deformity that leads to lack of coverage of the lunate bone. That leads to palmar subluxation of the lunate bone and consequent radiocarpal instability.We herein describe the possibilities of treatment in different stages of evolution, summarizing the authors' view on MD.

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Isolated Wedge Osteotomy of the Ulna for Mild Madelung’s Deformity

Cited by 18 publications

References 29 publications

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

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

Volar Ligament Release and Distal Radial Dome Osteotomy for the Correction of Madelung Deformity: Long-Term Follow-up

Madelung Deformity: Diagnosis and Treatment Options

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