Madelung deformity with ulnar osteotomy

Case contributed by Dr Tim Luijkx

Presentation

Wrist pain and functional impairment for years. Painful when washing hair and wringing, although strength is alright. Physical examination demonstrates ulnar positive variance on both sides.

Patient Data

Age: 57
Gender: Female
Modality: X-ray

Bowing of the radius, V-shaped proximal carpal row with the lunate at its apex, wedging between radius and ulna. Dorsal subluxation of the ulna. Findings consistent with Madelung deformity. The pattern is observed in both wrists.

Modality: X-ray

After shortening osteotomy of the ulna to improve function of the right hand.

Case Discussion

As in this case, Madelung deformity often leads to functional impairment and pain. Although conservative treatment tends to be ineffective, operative treatment (such as the ulnar osteotomy in this case) often has limited success. 

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Case Information

rID: 32740
Case created: 11th Dec 2014
Last edited: 31st Oct 2015
Inclusion in quiz mode: Included

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