Radial opening wedge osteotomy in Madelung's deformity

The Journal of Hand Surgery
M S MurphyH A Peterson

Abstract

Radiopalmar opening wedge osteotomy was used in 11 female patients (12 wrists) with Madelung's deformity who ranged in age from 9 to 31 years. Five patients met the radiographic criteria for generalized dyschondrosteosis. Clinically, there was dissatisfaction with the appearance of the wrist. The principal motion deficits were in radiocarpal extension and forearm pronosupination associated with varying degrees of discomfort with sustained activity. All had a decreased radioulnar angle, lunate subluxation shown radiographically, and various degrees of dorsal subluxation of the ulnar head. Indications for surgery were pain, limited motion, cosmetic appearance, and progressive deformity in two immature patients. Biplanar corrective opening wedge osteotomy of the radius was performed with iliac crest graft. Three patients had an added ulnar recession. Fixation was with a plate or Kirschner wire. Supplementary distracting external fixation was used in six cases. The follow-up period averaged 48 months. Pain relief in all patients was satisfactory. Range of motion and grip strength were not influenced. The radioulnar angle improved by 11 degrees, but lunate subluxation was minimally changed. Length of the forearm and bowed appearance...Continue Reading

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Citations

Nov 27, 2002·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·June Villeco
Nov 1, 2000·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·S HoushianR Weeth
Sep 2, 2006·The Journal of Hand Surgery·Emygdio J L de PaulaArnaldo V Zumiotti
Apr 30, 2013·Orthopaedics & Traumatology, Surgery & Research : OTSR·F MallardY Saint-Cast
Sep 14, 2014·Orthopaedics & Traumatology, Surgery & Research : OTSR·S HuguetUNKNOWN French Society of Pediatric Orthopaedics (SOFOP)
Sep 11, 2007·The Journal of Hand Surgery·Yann GlardRégis Legré
Dec 1, 2001·Journal of Pediatric Orthopedics. Part B·B Schmidt-RohlfingF U Niethard
Aug 14, 2018·Hand : Official Journal of the American Association for Hand Surgery·Abbas PeymaniSimon D Strackee
Jun 9, 2010·Techniques in Hand & Upper Extremity Surgery·H Relton McCarroll, Michelle A James
Mar 24, 2010·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Kunihiro OkaHideki Yoshikawa
Apr 8, 2006·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Kunihiro OkaHisao Moritomo
Mar 8, 2006·Techniques in Hand & Upper Extremity Surgery·Brian J HarleyMarybeth Ezaki
Jul 5, 2013·The Journal of Bone and Joint Surgery. American Volume·Suzanne SteinmanMarybeth Ezaki
Apr 15, 2021·The Journal of Hand Surgery·Abbas PeymaniSimon D Strackee
Jun 8, 2021·Hand : Official Journal of the American Association for Hand Surgery·Annelinde R PiekSimon D Strackee
Dec 14, 2005·The Journal of Hand Surgery·H Relton McCarrollPaul R Manske
Mar 14, 2007·Chirurgie de la main·C AharoniR Legré

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The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
D Vickers, G Nielsen
The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand
H K WatsonS Herber
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