Wrist pain in the Madelung's deformity of dyschondrosteosis

Fagg, Phillip S.

doi:10.1016/0266-7681(88)90042-3

Cited by 29 publications

(13 citation statements)

References 12 publications

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“…We have performed a fairly simple ulnar shortening osteotomy to patients' satisfaction. Most authors prudently advise conservative treatment [6] [8], and to reserve surgical intervention for extreme cases [6] [8] [12] [15].…”

Section: Discussionmentioning

confidence: 99%

“…In Madelung's deformity the physis is not normal and therefore one could question the applicability of the theory. Operating the ulnar side of the radius might result in earlier DRUJ degeneration than other procedures or than naturally occurs in Made lung's deformity [12]. The concurring pain necessitates further surgeries on an already deformed wrist.…”

Section: Discussionmentioning

confidence: 99%

“…Symptoms include wrist pain, fatigue during strenuous activities and a displeasing cosmetic aspect of the deformed wrist [7] [15] [18]. The range of motion (ROM) of the wrist and forearm is impaired [1] [11] [12] [19]. Pain usually subsides once skeletal maturity is reached, but may arise again due to incongruity of the distal radio-ulnar joint (DRUJ) [2] [12].…”

Section: Introductionmentioning

confidence: 99%

“…The range of motion (ROM) of the wrist and forearm is impaired [1] [11] [12] [19]. Pain usually subsides once skeletal maturity is reached, but may arise again due to incongruity of the distal radio-ulnar joint (DRUJ) [2] [12]. As the complaints are generally of a passing nature, they can be treated conservatively [11] [12].…”

Section: Introductionmentioning

confidence: 99%

“…Pain usually subsides once skeletal maturity is reached, but may arise again due to incongruity of the distal radio-ulnar joint (DRUJ) [2] [12]. As the complaints are generally of a passing nature, they can be treated conservatively [11] [12]. However, several surgical methods with varying results have been designed to correct the deformity.…”

Section: Introductionmentioning

confidence: 99%

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Langenski&ouml;ld Procedure for Madelung’s Deformity: Case Series of Late Sequelae

Paes¹,

Theunissen²,

Sakkers³

et al. 2014

OJO

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Background: Although many authors advise to postpone surgical intervention until skeletal maturity is reached, the Langenskiöld procedure-entailing physiolysis and the release of Vickers' ligament-is a known procedure in case of Madelung's deformity in children. Although advised in textbooks and recent reviews, the results and late sequelae of this procedure have been poorly documented. The aim of this study is to portray the late effects of this procedure for three patients and emphasize a very careful patient selection. Methods: A retrospective study was performed of the medical records of three patients who underwent a Langenskiöld procedure with release of Vickers' ligament for Madelung's deformity of the wrist. They were recalled for function evaluation and their results are presented in the current study. Results: We report the long term results of three patients (five wrists) who underwent a Langenskiöld procedure with release of Vickers' ligament in detail. Mean follow-up was twelve years (range: 11 -14 years). In all of the operated wrists severe pain recurred due to destruction of the distal radio-ulnar joint. Further salvaging surgeries were necessary, some with highly dissatisfying results. Conclusions: Based on our experience we advise not to perform this procedure until further studies have proven its effectiveness and clear indications. Other techniques are available for later correction of Madelung's deformity, with similar results on pain relief, wrist function and cosmetics. However, we will advocate conservative treatment until skeletal maturity is reached.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Langenski&ouml;ld Procedure for Madelung’s Deformity: Case Series of Late Sequelae

Paes¹,

Theunissen²,

Sakkers³

et al. 2014

OJO

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Kommentar

Martini

1994

Operat Orthop Traumatol

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Maladie de Madelung — Pourquoi avoir choisi une ostéotomie selon Sauvé-Kapandji?

Graftiaux

Kehr²

1996

Eur J Orthop Surg Traumatol

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For bilateral Madelung's deformity in a 14-year-old girl we did the Sauvé and Kapandji operation without additional radius osteotomy. The operation was justified by the protrusion of the head of the ulna, the limitation of the rotation and diminution of the strength of the wrist, and inability to do sporting activity. The clinical findings were referred to the instability of the inferior radio ulnar joint There was no pain. The post operative review showed no pain, with recovery of grasp and of sporting activity (gymnastic and dance). The esthetic result satisfied the surgeon and the patient The operation permitted repositioning of the inferior radio ulnar joint. We have not seen synostosis of the osteotomy and the width of it increased progressively without radiological and physical instability of the inferior radio ulnar joint. The literature study allows us to discuss the different treatment possibilities and to explain our choice.The simplicity of this operation is interesting, because it was possible to stabilize the carpal joint, with abolition of the physical problems of this youg girl, without the needing osteotomy of the radius, which takes longer to recover, in those cases without pain before the operation.

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Wrist pain in the Madelung's deformity of dyschondrosteosis

Abstract: Madelung's deformity is the most recognizable clinical manifestation of dyschondrosteosis. The natural history of the painful wrist in this condition has not been well documented and a study of nineteen patients is reported, with a review of the literature on the surgical treatment.

Cited by 29 publications

References 12 publications

Langenski&ouml;ld Procedure for Madelung’s Deformity: Case Series of Late Sequelae

Langenski&ouml;ld Procedure for Madelung’s Deformity: Case Series of Late Sequelae

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Maladie de Madelung — Pourquoi avoir choisi une ostéotomie selon Sauvé-Kapandji?

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Wrist pain in the Madelung's deformity of dyschondrosteosis

Abstract: Madelung's deformity is the most recognizable clinical manifestation of dyschondrosteosis. The natural history of the painful wrist in this condition has not been well documented and a study of nineteen patients is reported, with a review of the literature on the surgical treatment.

Cited by 29 publications

References 12 publications

Langenski&amp;ouml;ld Procedure for Madelung’s Deformity: Case Series of Late Sequelae

Langenski&amp;ouml;ld Procedure for Madelung’s Deformity: Case Series of Late Sequelae

Kommentar

Maladie de Madelung — Pourquoi avoir choisi une ostéotomie selon Sauvé-Kapandji?

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Langenskiöld Procedure for Madelung’s Deformity: Case Series of Late Sequelae

Langenskiöld Procedure for Madelung’s Deformity: Case Series of Late Sequelae