Madelung's dyschondrosteosis

Case contributed by Wael Nemattalla
Diagnosis almost certain

Presentation

Bilateral arm deformities and short stature.

Patient Data

Age: 17 years
Gender: Female
x-ray

There were symmetrical arm bone findings; the left is presented. Note:

  1. decreased carpal angle [normal between 118° and 139°]
  2. V-shaped carpal angle
  3. herniation of proximal carpal row of bones
  4. dysplastic proximal radius with shortening which is characteristic of Madelung's dyschondrosteosis rather than the primary Madelung's deformity

Case Discussion

X-ray of legs [not shown] showed bilateral symmetrical upper tibial and fibular deformities with medial inclinations.

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