Intraarticular osteotomy for adult Madelung deformity: Case report
Madelung deformity is a hemi-epiphyseal dysplasia of the radioulnar axis. The prominent feature is radial deformity secondary to premature closure of the volar-ulnar side of the distal radial physics. The distal radius is malaligned with excessive ulnar and volar tilt, shortening and concomitant uln...
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Elsevier
2025-09-01
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| Series: | JPRAS Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587825001408 |
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| author | Pedro C. Cavadas Juan Ramón Sanz Gimenez-Rico Ana Ruo Lan Cavadas |
| author_facet | Pedro C. Cavadas Juan Ramón Sanz Gimenez-Rico Ana Ruo Lan Cavadas |
| author_sort | Pedro C. Cavadas |
| collection | DOAJ |
| description | Madelung deformity is a hemi-epiphyseal dysplasia of the radioulnar axis. The prominent feature is radial deformity secondary to premature closure of the volar-ulnar side of the distal radial physics. The distal radius is malaligned with excessive ulnar and volar tilt, shortening and concomitant ulna plus deformity.Adults presenting most frequently complain of pain, limited wrist motion and poor cosmesis. Surgical indications in adult patients are severe pain and/or limitation of wrist motion. Current surgical treatments consist of various types of extraarticular osteotomies to improve the alignment of the distal radius epiphysis, without addressing the intrinsic deformity of the articular surface itself.The authors present a novel technique of intraarticular osteotomy in an adult patient with severely deformed articular distal radial articular facets. To the best of the authors’ knowledge, no similar technique has been previously described in the literature. |
| format | Article |
| id | doaj-art-e84ac303dfac4f42a28993b226b6513f |
| institution | Kabale University |
| issn | 2352-5878 |
| language | English |
| publishDate | 2025-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj-art-e84ac303dfac4f42a28993b226b6513f2025-08-25T04:14:34ZengElsevierJPRAS Open2352-58782025-09-014546647010.1016/j.jpra.2025.08.002Intraarticular osteotomy for adult Madelung deformity: Case reportPedro C. Cavadas0Juan Ramón Sanz Gimenez-Rico1Ana Ruo Lan Cavadas2Clínica Cavadas, Paseo de Facultades 1, 46021 Valencia, Spain; Universidad Cardenal Herrera-CEU, Carrer Lluís Vives 1, 46115 Alfara del Patriarca, Valencia, SpainHospital Mompía, Avenida de los Condes s/n. 39100 Santa Cruz de Bezana, Cantabria, Spain; Corresponding author.Clínica Cavadas, Paseo de Facultades 1, 46021 Valencia, SpainMadelung deformity is a hemi-epiphyseal dysplasia of the radioulnar axis. The prominent feature is radial deformity secondary to premature closure of the volar-ulnar side of the distal radial physics. The distal radius is malaligned with excessive ulnar and volar tilt, shortening and concomitant ulna plus deformity.Adults presenting most frequently complain of pain, limited wrist motion and poor cosmesis. Surgical indications in adult patients are severe pain and/or limitation of wrist motion. Current surgical treatments consist of various types of extraarticular osteotomies to improve the alignment of the distal radius epiphysis, without addressing the intrinsic deformity of the articular surface itself.The authors present a novel technique of intraarticular osteotomy in an adult patient with severely deformed articular distal radial articular facets. To the best of the authors’ knowledge, no similar technique has been previously described in the literature.http://www.sciencedirect.com/science/article/pii/S2352587825001408Madelung deformitySurgical treatmentIntraarticular radial osteotomylong term functional result |
| spellingShingle | Pedro C. Cavadas Juan Ramón Sanz Gimenez-Rico Ana Ruo Lan Cavadas Intraarticular osteotomy for adult Madelung deformity: Case report JPRAS Open Madelung deformity Surgical treatment Intraarticular radial osteotomy long term functional result |
| title | Intraarticular osteotomy for adult Madelung deformity: Case report |
| title_full | Intraarticular osteotomy for adult Madelung deformity: Case report |
| title_fullStr | Intraarticular osteotomy for adult Madelung deformity: Case report |
| title_full_unstemmed | Intraarticular osteotomy for adult Madelung deformity: Case report |
| title_short | Intraarticular osteotomy for adult Madelung deformity: Case report |
| title_sort | intraarticular osteotomy for adult madelung deformity case report |
| topic | Madelung deformity Surgical treatment Intraarticular radial osteotomy long term functional result |
| url | http://www.sciencedirect.com/science/article/pii/S2352587825001408 |
| work_keys_str_mv | AT pedroccavadas intraarticularosteotomyforadultmadelungdeformitycasereport AT juanramonsanzgimenezrico intraarticularosteotomyforadultmadelungdeformitycasereport AT anaruolancavadas intraarticularosteotomyforadultmadelungdeformitycasereport |