Radiographic Criteria for Undergoing an Ulnar Shortening Osteotomy in Madelung Deformity: A Long-term Experience From a Single Institution

Journal of Pediatric Orthopedics
Sebastian FarrPeter M Waters

Abstract

There are no established guidelines on the age or the severity of deformity for which an ulna shortening osteotomy or ulna epiphysiodesis should be performed in children and adolescents with Madelung deformity. The purpose of this study was to identify radiographic criteria associated with the eventual performance for an ulna shortening procedure in this patient population. We retrospectively identified 41 wrists in 31 Madelung patients (mean±SD age 13.8±3.2 y) subjected to surgical correction of their deformity between 1999 and 2013. We assessed established radiographic criteria (ulnar tilt, lunate subsidence, palmar carpal displacement, ulnar variance) at preoperative and postoperative visits. Univariate and multivariate analyses were carried out to determine which radiographic criteria were associated with the performance of an "ulnar shortening procedure" at the first (index) surgical procedure. Eleven wrists were subjected to an ulna shortening osteotomy at the index and 5 at subsequent procedures; 10 cases received an ulnar epiphysiodesis (mean age 13.4±1.5 y). Ulnar shortening at the index procedure was associated with significantly higher preoperative lunate subsidence, ulnar variance, and palmar carpal displacement. Ul...Continue Reading

References

Aug 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·D Vickers, G Nielsen
Jul 1, 1989·The Journal of Hand Surgery·C M Steyers, W F Blair
Oct 13, 1998·The Journal of Bone and Joint Surgery. British Volume·F B dos ReisJ Laredo Filho
Apr 14, 2000·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·A SalonJ C Pouliquen
May 29, 2003·The Journal of Hand Surgery·Roderick J BrunoThomas G Bergfield
Dec 14, 2005·The Journal of Hand Surgery·H Relton McCarrollPaul R Manske
Feb 14, 2006·The Journal of Hand Surgery·Anjali S Arora, Kevin C Chung
Nov 11, 2006·The Journal of Hand Surgery·Brian J HarleyMarybeth Ezaki
Nov 13, 2007·The Journal of Hand Surgery·Lukas P ZebalaCharles A Goldfarb
Feb 20, 2009·Surgical and Radiologic Anatomy : SRA·Christoph StehlingVolker Vieth
Mar 24, 2009·Hand : Official Journal of the American Association for Hand Surgery·Michael J CoffeySunil M Thirkannad
May 21, 2009·Pediatric Radiology·Hee Kyung Kim
Jul 5, 2013·The Journal of Bone and Joint Surgery. American Volume·Suzanne SteinmanMarybeth Ezaki

❮ Previous
Next ❯

Citations

Nov 10, 2017·The Journal of Hand Surgery Asian-Pacific Volume·Sho YanagisawaMasahiko Watanabe
Sep 24, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Margaux BebingPhilippe Violas
Jun 10, 2021·Journal of Plastic Surgery and Hand Surgery·Andrea Leti AcciaroRoberto Adani

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.