Madelung’s Deformity: Treatment With Radial Osteotomy and Insertion of a Trapezoidal Wedge

Paula, Emygdio José Leomil de; Cho, Álvaro Baik; Mattar, Rames; Zumiotti, Arnaldo Valdir

doi:10.1016/j.jhsa.2006.06.017

Cited by 24 publications

(19 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…OCR more proximal than Watson et al osteotomy avoids aggression directly from the distal radioulnar joint and allows the dorsal tilting of the radial epiphysis which will thus join the ulnar head [1]. With regard to addition osteotomy with a free trapezoidal bone graft, described by Murphy et al in 1996 [6] and modified by de Paula et al [7] theoretically allows to restore the length of the radius and to reorient the radial glenoid. However, it requires often difficult intraoperative maneuvers and remote engraftment (iliac crest).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Eric¹,

Niaoré²,

Blaise³

et al. 2018

OJO

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…It is rare and represents 1.7% of congenital anomalies [2]. The treatment is surgical and several techniques have been described [3] [4] [5] [6] [7]. The cuneiform osteotomy of distal radius reversal (OCR) associated with an osteotomy subtraction of the ulna gives a good result [1].…”

Section: Introductionmentioning

confidence: 99%

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

Eric¹,

Niaoré²,

Blaise³

et al. 2018

OJO

View full text Add to dashboard Cite

show abstract

“…They proposed preservation of the distal ulna, with only one patient complaining of mild radioulnar discomfort, and two patients requiring ulnar recession for excessive positive ulnar variance. A modification of this technique (De Paula et al, 2006), using a trapezoidal iliac crest bone graft in the opening wedge osteotomy at the apex of radial deformity, resulted in improved range of movement, better appearance and reduced pain in four patients. We similarly used a trapezoidal graft with good correction.…”

Section: Discussionmentioning

confidence: 99%

“…Many surgical procedures have been described, including excision of the distal ulna (Nielsen, 1977;Ranawat et al, 1975;Schmidt-Rohlfing et al, 2001), ulnar shortening osteotomies (Bruno et al, 2003;Nielsen, 1977;Schmidt-Rohlfing et al, 2001), wrist denervation (Schmidt-Rohlfing et al, 2001), radiocarpal arthrodesis combined with distal ulna excision (Henry and Thorburn, 1967), Sauve´-Kapandji procedure (Angelini et al, 1996), epiphysiodesis (Vickers and Nielsen, 1992), opening or closing wedge osteotomy of the distal radius (De Paula et al, 2006;Houshian et al, 2000;Murphy et al, 1996, Schmidt-Rohlfing et al, 2001, or a combination of the above (Burrows, 1937;Dos Reis et al, 1998;Nielsen, 1977;Ranawat et al, 1975;Salon et al, 2000;Watson et al, 1993;White and Weiland, 1987). Due to the rarity of the condition, few studies in the literature describe more than 15 patients.…”

Section: Introductionmentioning

confidence: 99%

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

View full text Add to dashboard Cite

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.

show abstract

“…[9][10][11] Several researchers have called attention to the importance of preserving the distal radioulnar joint (DRUJ) during correction of Madelung's deformity. 7,8,[11][12][13][14] This important principle is incorporated in the technique described here, which allows individual correction of the 3 components of Madelung's deformity.…”

Section: Historical Perspectivementioning

confidence: 99%

Very Distal Radial Osteotomy For Madelung's Deformity

McCarroll

James²

2010

Techniques in Hand &Amp; Upper Extremity Surgery

View full text Add to dashboard Cite

Madelung's deformity results from arrested or slowed growth of the volar-palmar portion of the distal radial epiphysis. The deformity is characterized by increased volar and ulnar tilt of the articular surface of the radius and a bow of the distal radius in a palmar direction. When Madelung's deformity produces pain and interferes with function, correction of the deformity of the radius and secondary overgrowth of the ulna is desirable. Although osteotomy of the radius near the junction of the middle and distal thirds allows correction of the bow of the radius and limited correction of palmar tilt, it does not permit correction of ulnar tilt. We describe a very distal radial osteotomy that permits correction of the 3 deformities of the distal radius independently; correction of palmar tilt, ulnar tilt, and the bow of the radius are selected individually. The inherent flexibility makes the procedure technically challenging but allows for maximum independent correction of the components of Madelung's deformity. Early results indicate the procedure provides relief of pain and improved appearance with few complications.

show abstract

Madelung’s Deformity: Treatment With Radial Osteotomy and Insertion of a Trapezoidal Wedge

Cited by 24 publications

References 16 publications

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

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

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

Very Distal Radial Osteotomy For Madelung's Deformity

Contact Info

Product

Resources

About