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Case Studies | Orthopaedic Surgery | India | Volume 13 Issue 1, January 2024 | Popularity: 5.2 / 10

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Unilateral Madelung Deformity and its Treatment with Radial Dome Osteotomy and Ulnar Shortening - A Case Report

Sushil Kumar, Atanu Pal, Abhirup Mukherjee, Indrajit Saha

Abstract: Introduction: Madelung deformity is an abnormality of the palmar ulnar part of the distal radial physis in which progressive ulnar and volar tilt develops at the distal radial articular surface, with dorsal subluxation of the distal ulna. it may be unilateral or bilateral. Case Presentation: A 14 years old girl presented to BSMCH OPD with chief complain of pain over left wrist and bony prominence over the medial aspect of the wrist on dorsal side since 2 years. On examination all movements around the left wrist such as flexion and extension and pronation and supination was restricted. patient managed by surgical intervention with biplanar dome osteotomy of radius - metaphyseal region fixed with 2 k wires and ulnar shortening done for this case. Result: Patient results were assessed both clinically and radiologically. After surgery pain relieved, cosmetic discomfort gone and range of motion of wrist increased. Conclusion: Distal radius deformities associated with madelung deformity can be treated with surgery especially in the presence of pain and cosmetic discomfort. Radial volar dome osteotomy + ulnar shortening is considered as gold standard surgery for madelung deformity in patient with open physis and less growth potential.

Keywords: Madelung deformity, Radius, ulna, surgery

Edition: Volume 13 Issue 1, January 2024

Pages: 1201 - 1203

DOI: https://www.doi.org/10.21275/MR24113141258

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