Published in:
01-09-2014 | Review
Madelung’s Deformity
Authors:
Elisa J. Knutsen, Charles A. Goldfarb
Published in:
HAND
|
Issue 3/2014
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Excerpt
Madelung’s deformity was first described by Malgaigne in 1855 however carries Madelung’s name from his description in 1878 [
1]. The deformity is caused by an abnormal growth arrest of the palmar-ulnar distal radius physis. In addition to the abnormal growth, there is an abnormal palmar ligament tethering the lunate to the palmar-ulnar radius epiphysis and metaphysis (Vickers’ ligament) that is thought to contribute to the deformity [
11]. The deformity is characterized by a prominent dorsal subluxation of the ulnar head and palmar sag of the hand and wrist with a shortened forearm. Patients present with wrist pain as well as concerns about the aesthetic deformity. …