RSS-Feed abonnieren
Bitte kopieren Sie die angezeigte URL und fügen sie dann in Ihren RSS-Reader ein.
https://www.thieme-connect.de/rss/thieme/de/10.1055-s-00033287.xml
CC BY-NC-ND 4.0 · Revista Iberoamericana de Cirugía de la Mano 2021; 49(02): e140-e154
DOI: 10.1055/s-0041-1739452
DOI: 10.1055/s-0041-1739452
Artículo de Actualización
Madelung Deformity: Diagnosis and Treatment Options
Artikel in mehreren Sprachen: English | español
Abstract
Madelung deformity (MD) comprises an increased volar and ulnar tilt of the joint facet of the distal radius, secondary to an idiopathic physeal dysplasia. Such change causes radial shortening and consequent distal ulnar prominence, along with wrist pain and loss of motion. Surgery becomes an option in patients with severe deformity that do not respond to conservative treatment.
The classic surgical techniques are problematic for adults, as they are specific for children and adolescents, whose radial physis is still open. Very few papers discuss the treatment of adult patients; furthermore, most are focused on the distal radioulnar joint, and thus do not approach the origin of the pathology.
When analyzing computed tomography scans with tridimensional reconstruction, a feature of MD, growth arrest of the volar and ulnar portions of the distal radius, is noted, causing the typical distal radius deformity that leads to lack of coverage of the lunate bone. That leads to palmar subluxation of the lunate bone and consequent radiocarpal instability.
We herein describe the possibilities of treatment in different stages of evolution, summarizing the authors' view on MD.
Keywords
Madelung deformity - longitudinal dysplasia - wrist subluxation - congenital hand anomalies - historical perspectivePublikationsverlauf
Eingereicht: 20. Juli 2021
Angenommen: 01. Oktober 2021
Artikel online veröffentlicht:
13. Dezember 2021
© 2021. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 Ghatan AC, Hanel DP. Madelung deformity. J Am Acad Orthop Surg 2013; 21 (06) 372-382 DOI: 10.5435/JAAOS-21-06-372.
- 2 Arora AS, Chung KC. Madelung and the recognition of Madelung's deformity. J Hand Surg Am 2006; 31 (02) 177-182
- 3 Peymani A, Johnson AR, Dowlatshahi AS. et al. Surgical Management of Madelung Deformity: A Systematic Review. Hand (N Y) 2019; 14 (06) 725-734 DOI: 10.1177/1558944718793179.
- 4 Knutsen EJ, Goldfarb CA. Madelung's Deformity. Hand (N Y) 2014; 9 (03) 289-291 DOI: 10.1007/s11552-014-9633-y.
- 5 Babu S, Turner J, Seewoonarain S, Chougule S. Madelung's Deformity of the Wrist-Current Concepts and Future Directions. J Wrist Surg 2019; 8 (03) 176-179 DOI: 10.1055/s-0039-1685488.
- 6 Madelung O. Die spontane subluxation de hand nachvorne. Verhandlungen der Deutschen Gesellschaft für Chirurgie.. 1950 . ISBN: 978-3-662-22828-9
- 7 Zebala LP, Manske PR, Goldfarb CA. Madelung's deformity: a spectrum of presentation. J Hand Surg Am 2007; 32 (09) 1393-1401
- 8 Nielsen JB. Madelung's deformity.A follow-up study of 26 cases and a review of the literature. Acta Orthop Scand 1977; 48 (04) 379-384
- 9 Sellami M, Maatallah K, Riahi H, Bouaziz MC, Hamdi W, Kchir MM. Madelung Deformity. J Clin Rheumatol 2020; 26 (08) e317-e318 DOI: 10.1097/RHU.0000000000001172.
- 10 Vickers D, Nielsen G. Madelung deformity: surgical prophylaxis (physiolysis) during the late growth period by resection of the dyschondrosteosis lesion. J Hand Surg [Br] 1992; 17 (04) 401-407 DOI: 10.1016/s0266-7681(05)80262-1.
- 11 Harley BJ, Brown C, Cummings K, Carter PR, Ezaki M. Volar ligament release and distal radius dome osteotomy for correction of Madelung's deformity. J Hand Surg Am 2006; 31 (09) 1499-1506
- 12 Harley BJ, Carter PR, Ezaki M. Volar surgical correction of Madelung's deformity. Tech Hand Up Extrem Surg 2002; 6 (01) 30-35 DOI: 10.1097/00130911-200203000-00006.
- 13 Carter PR, Ezaki M. Madelung's deformity. Surgical correction through the anterior approach. Hand Clin 2000; 16 (04) 713-721 , x–xi
- 14 Burgos L, Walker M, Daley RA. A Variant of Madelung Deformity: Management of the Distal Ulna Within the Carpal Canal. J Hand Surg Am 2021; 46 (05) 429.e1-429.e6 DOI: 10.1016/j.jhsa.2020.06.007.
- 15 Benito-Sanz S, Thomas NS, Huber C. et al. A novel class of Pseudoautosomal region 1 deletions downstream of SHOX is associated with Leri-Weill dyschondrosteosis. Am J Hum Genet 2005; 77 (04) 533-544
- 16 McCarroll Jr HR, James MA, Newmeyer III WL, Molitor F, Manske PR. Madelung's deformity: quantitative assessment of x-ray deformity. J Hand Surg Am 2005; 30 (06) 1211-1220 DOI: 10.1016/j.jhsa.2005.06.024.
- 17 McCarroll Jr HR, James MA, Newmeyer III WL, Manske PR. Madelung's deformity: diagnostic thresholds of radiographic measurements. J Hand Surg Am 2010; 35 (05) 807-812 DOI: 10.1016/j.jhsa.2010.02.003.
- 18 Peymani A, Dobbe JGG, Streekstra GJ, McCarroll HR, Strackee SD. Quantitative three-dimensional assessment of Madelung deformity. J Hand Surg Eur Vol 2019; 44 (10) 1041-1048 DOI: 10.1177/1753193419876203.
- 19 Hegazy G, Mansour T, Alshal E, Abdelaziz M, Alnahas M, El-Sebaey I. Madelung's deformity: capitate-related versus ulna-related measurement methods. J Hand Surg Eur Vol 2019; 44 (05) 524-531 DOI: 10.1177/1753193419832233.
- 20 Farr S, Guitton TG, Ring D. Science of Variation Group. How Reliable is the Radiographic Diagnosis of Mild Madelung Deformity? . J Wrist Surg 2018; 7 (03) 227-231 DOI: 10.1055/s-0037-1612636.
- 21 Kozin SH, Zlotolow DA. Madelung Deformity. J Hand Surg Am 2015; 40 (10) 2090-2098 DOI: 10.1016/j.jhsa.2015.03.033.
- 22 Cook PA, Yu JS, Wiand W. et al. Madelung deformity in skeletally immature patients: morphologic assessment using radiography, CT, and MRI. J Comput Assist Tomogr 1996; 20 (04) 505-511
- 23 Hanson TJ, Murthy NS, Shin AY, Kakar S, Collins MS. MRI appearance of the anomalous volar radiotriquetral ligament in true Madelung deformity. Skeletal Radiol 2019; 48 (06) 915-918 DOI: 10.1007/s00256-018-3094-2.
- 24 Stehling C, Langer M, Nassenstein I, Bachmann R, Heindel W, Vieth V. High resolution 3.0 Tesla MR imaging findings in patients with bilateral Madelung's deformity. Surg Radiol Anat 2009; 31 (07) 551-557
- 25 Ogino T, Ishigaki D, Satake H, Iba K. Free fat graft for congenital hand differences. Clin Orthop Surg 2012; 4 (01) 45-57 DOI: 10.4055/cios.2012.4.1.45.
- 26 Otte JE, Popp JE, Samora JB. Treatment of Madelung Deformity WithVicker Ligament Release and Radial Physiolyses: A Case Series. J Hand Surg Am 2019; 44 (02) 158.e1-158.e9 DOI: 10.1016/j.jhsa.2018.04.033.
- 27 Kaempf de Oliveira R, Delgado PJ, Ribak S, Bertelli JA, da Silva Marques F. Lunate Grafting Into the Radius for Lunate Fossa Reconstruction in Madelung Deformity. J Hand Surg Am 2018; 43 (07) 683.e1-683.e5 DOI: 10.1016/j.jhsa.2018.01.014.
- 28 Yanagisawa S, Takagi T, Murase T, Kobayashi Y, Watanabe M. Open Wedge Osteotomy with Ulnar Shortening for Madelung Deformity Using a Computer-Generated Template. J Hand Surg Asian Pac Vol 2017; 22 (04) 538-543 DOI: 10.1142/S021881041772042X.
- 29 Imai Y, Miyake J, Okada K, Murase T, Yoshikawa H, Moritomo H. Cylindrical corrective osteotomy for Madelung deformity using a computer simulation: case report. J Hand Surg Am 2013; 38 (10) 1925-1932 DOI: 10.1016/j.jhsa.2013.07.006.
- 30 Jebson PJ, Blair WF. Bilateral spontaneous extensor tendon ruptures in Madelung's deformity. J Hand Surg Am 1992; 17 (02) 277-280 DOI: 10.1016/0363-5023(92)90405-e.
- 31 Del Core M, Beckwith T, Phillips L, Ezaki M, Stutz C, Oishi SN. Long-term Outcomes Following Vickers Ligament Release and Growth Modulation for the Treatment of Madelung Deformity. J Pediatr Orthop 2020; 40 (04) e306-e311 DOI: 10.1097/BPO.0000000000001504.
- 32 Steinman S, Oishi S, Mills J, Bush P, Wheeler L, Ezaki M. Volar ligament release and distal radial dome osteotomy for the correction of Madelung deformity: long-term follow-up. J Bone Joint Surg Am 2013; 95 (13) 1198-1204
- 33 Megremis P, Megremis O. Bilateral Madelung Wrist Deformity in a 13-Year-Old Girl: Surgical Correction With the Taylor Spatial Frame External Fixation System. J Am Acad Orthop Surg Glob Res Rev 2019; 3 (11) e18.00036 DOI: 10.5435/JAAOSGlobal-D-18-00036.
- 34 Van Demark Sr RE, Van Demark Jr RE. Long-term results after the surgical treatment of Madelung's deformity: a case report. J Hand Surg Am 1993; 18 (06) 1008-1011 DOI: 10.1016/0363-5023(93)90392-G.
- 35 McCarroll Jr HR, James MA. Very distal radial osteotomy for Madelung's deformity. Tech Hand Up Extrem Surg 2010; 14 (02) 85-93 DOI: 10.1097/BTH.0b013e3181dba5fe.
- 36 Murphy MS, Linscheid RL, Dobyns JH, Peterson HA. Radial opening wedge osteotomy in Madelung's deformity. J Hand Surg Am 1996; 21 (06) 1035-1044 DOI: 10.1016/S0363-5023(96)80312-1.
- 37 de Paula EJ, Cho AB, Mattar Junior R, Zumiotti AV. Madelung's deformity: treatment with radial osteotomy and insertion of a trapezoidal wedge. J Hand Surg Am 2006; 31 (07) 1206-1213 DOI: 10.1016/j.jhsa.2006.06.017.
- 38 Laffosse JM, Abid A, Accadbled F, Knör G, Sales de Gauzy J, Cahuzac JP. Surgical correction of Madelung's deformity by combined corrective radioulnar osteotomy: 14 cases with four-year minimum follow-up. Int Orthop 2009; 33 (06) 1655-1661 DOI: 10.1007/s00264-008-0711-z.
- 39 dos Reis FB, Katchburian MV, Faloppa F, Albertoni WM, Laredo Filho Jr J. Osteotomy of the radius and ulna for the Madelung deformity. J Bone Joint Surg Br 1998; 80 (05) 817-824
- 40 Glard Y, Gay A, Launay F, Guinard D, Legré R. Isolated wedge osteotomy of the ulna for mild Madelung's deformity. J Hand Surg Am 2007; 32 (07) 1037-1042 DOI: 10.1016/j.jhsa.2007.05.015.
- 41 Bruno RJ, Blank JE, Ruby LK, Cassidy C, Cohen G, Bergfield TG. Treatment of Madelung's deformity in adults by ulna reduction osteotomy. J Hand Surg Am 2003; 28 (03) 421-426 DOI: 10.1053/jhsu.2003.50073.
- 42 Coffey MJ, Scheker LR, Thirkannad SM. Total distal radioulnar joint arthroplasty in adults with symptomatic Madelung's deformity. Hand (N Y) 2009; 4 (04) 427-431 DOI: 10.1007/s11552-009-9182-y.
- 43 Harness NG, Jupiter JB, Orbay JL, Raskin KB, Fernandez DL. Loss of fixation of the volar lunate facet fragment in fractures of the distal part of the radius. J Bone Joint Surg Am 2004; 86 (09) 1900-1908 DOI: 10.2106/00004623-200409000-00007.
- 44 Angelini LC, Leite VM, Faloppa F. Surgical treatment of Madelung disease by the Sauvé-Kapandji technique. Ann Chir Main Memb Super 1996; 15 (04) 257-264 DOI: 10.1016/s0753-9053(96)80035-4.
- 45 del Piñal F, Klausmeyer M, Moraleda E. et al. Vascularized graft from the metatarsal base for reconstructing major osteochondral distal radius defects. J Hand Surg Am 2013; 38 (10) 1883-1895
- 46 Obert L, Lepage D, Sergent P. et al. Post-traumatic malunion of the distal radius treated with autologous costal cartilage graft: a technical note on seven cases. Orthop Traumatol Surg Res 2011; 97 (04) 430-437
- 47 Kaempf de Oliveira R, Serrano PJ, Badia A, Ferreira MT. Corrective osteotomy after damage of the distal radial physis in children: surgical technique and results. Tech Hand Up Extrem Surg 2011; 15 (04) 236-242 DOI: 10.1097/BTH.0b013e31821da4b5.
- 48 de Oliveira RK, Binz MA, Ferreira MT, Ruschel PH, Serrano PD, Praetzel RP. Osteotomy of the distal radius using a fixed-angle volar plate. Rev Bras Ortop 2015; 47 (02) 173-185
- 49 Pilny J, Slodicka R, Hajek P, Horackova K. Selective Carpus Denervation - One of Treatment Options of Madelung Deformity. Z OrthopUnfall 2020; 158 (05) 497-500 DOI: 10.1055/a-0977-3657.
- 50 Dickson JK, Williams D, Standley D. Traumatic injury to a wrist with incidental Madelung's deformity. Orthop Traumatol Surg Res 2010; 96 (03) 323-324
- 51 Field JS, Rizzo M. Madelung deformity with prior distal radius fracture: a case report. Am J Orthop 2007; 36 (06) E91-E93