Presentation
A 37-year-old woman presented for evaluation of a rash, which was unrelated to her secondary complaint of a bilateral wrist abnormality that had been present for the past 30 years. [consultant360.com]
They also presented clinical, radiographic, pathologic, epidemiologic, and etiologic theories regarding MD. [emedicine.com]
Madelung's deformity may be the only presenting symptom. [em-consulte.com]
Most non-traumatic cases of Madelung deformity present with progressive deformity during late childhood or early adolescence 3. [radiopaedia.org]
She presented mechanical pain of both wrists, with a visual analog score (VAS) of 90/100. [reumatologiaclinica.org]
Entire Body System
- Localized Pain
[…] described the deformity carrying his name for the first time in 1878.1 Madelung's deformity is much more common in adolescent women, with the appearance of a slow growing tumor on the dorsal ulnar side of the wrists, local pain and a reduction in motility [reumatologiaclinica.org]
Psychiatrical
- Distractibility
Distraction and correction began on the seventh postoperative day. The rate of distraction was different and depended on radiographic evidence of regeneration and pain tolerability of the patients, ranging from 0.25 to 1 mm/day. [eoj.eg.net]
[…] grafting in the physis Corrective radial osteotomy +/- distal ulnar shortening osteotomy goals restore mechanics of distal radius approach volar approach to the distal radius technique severe deformities may benefit from a staged procedure with initial distraction [orthobullets.com]
Neurologic
- Delayed Milestone
Elbow Retrocalcaneal Bursitis Shin splints Sports General Cricket Rehabilitation Football Rehabilitation Kabaddi Rehabilitation Badminton Rehabilitation Hockey Rehabilitation Cycling Rehab Golf Rehabilitation Paediatric Rehabilitation Cerebral Palsy Delayed [physioline.in]
Treatment
The objectives of surgical treatment are: alleviation of pain, esthetic correction of the deformity and improvement of joint motion, the latter being the most difficult to attain.Ethical ResponsibilitiesProtection of people and animals The authors state [reumatologiaclinica.org]
When none of the conservative treatments work surgical intervention is designated. Physiolysis Purpose of the treatment is the removal of the epiphysis that causes the abnormal growth of the wrist. [en.wikipedia.org]
[…] and prognosis Many treatments have been proposed and tried, often with limited success. [radiopaedia.org]
Treatment is observation in patients who are asymptomatic. Operative management is indicated for patients with wrist pain, decreased range of motion, and/or functional limitations. [orthobullets.com]
[…] agreement regarding etiology, pathogenesis, or treatment. [emedicine.com]
Prognosis
[…] the apex of the V-shaped radio-ulno-carpal joint “V-shaped” proximal carpal row: herniated proximal carpal row dorsal subluxation of the distal radioulnar joint positive ulnar variance wedging of the carpus between the radius and ulna Treatment and prognosis [radiopaedia.org]
Introduction Define/describe the condition Anatomy Describe the pertinent anatomy Pathogenesis Describe the biomechanics/biologic basis of the disorder or the mechanism of injury Natural History Describe the natural history, epidemiology and prognosis [orthopaedicsone.com]
Prognosis of Madelung Deformity Pain relief and correction of the cosmetic deformity are the main goals of treatment and most of the patients attain both of them. The range of motion usually is only moderately improved at best. [boneandspine.com]
Etiology
[…] agreement regarding etiology, pathogenesis, or treatment. [emedicine.com]
etiology, pathogenesis, or treatment. [thehealthscience.com]
Etiology • Unknown, it can be a part of • Turner syndrome or • Dyschondrosteosis (Madelung deformity & mesomeric dwarfism). 4. Demographics • It is more common in adolescent females. 5. Radiological features: Distribution: • Usually bilateral. 6. [fr.slideshare.net]
Epidemiology
Patient Population: Prevalence and Epidemiology Knee // Shoulder & Elbow // Hip // Spine // Foot & Ankle // Hand & Wrist Fragility Fractures: Diagnosis and Treatment Shoulder & Elbow The Characteristics of Surgeons Performing Total Shoulder Arthroplasty [mdedge.com]
They also presented clinical, radiographic, pathologic, epidemiologic, and etiologic theories regarding MD. [emedicine.com]
Epidemiology occurs predominantly in adolescent females common in gymnasts Etiology Pathophysiology caused by disruption of the ulnar volar physis of the distal radius repetitive trauma or dysplastic arrest leads excessive radial inclination and volar [orthobullets.com]
[…] synonyms: Madelung’s Deformity ICD-9 755.54 Madelung's Deformity Madelung’s Deformity Etiology / Epidemiology / Natural History growth disturbance of the ulnar, palmar aspect of the distal radial epiphysis may be combination of a bony leasion in ulnar [eorif.com]
Pathophysiology
Epidemiology occurs predominantly in adolescent females common in gymnasts Etiology Pathophysiology caused by disruption of the ulnar volar physis of the distal radius repetitive trauma or dysplastic arrest leads excessive radial inclination and volar [orthobullets.com]
[…] ulnar & volar half of the distal radius, which causes articular surface to be directed ulnarward and volarward; - genetics: it is inhertited as autosomal dominant trait w/ variable expressivity; - females are affected four times as often as males; - pathophysiology [wheelessonline.com]
Pathophysiology One third of cases of MD are transmitted in an autosomal dominant fashion. The condition has a variable expression and 50% penetrance. MD is bilateral in 50% of cases and is primarily found in females. [thehealthscience.com]
Measurement of Ulnar Variance Pathophysiology of Madelung Deformity Madelung deformity is the deformity in the wrist due to a growth disturbance in the volar-ulnar distal radial physis. [boneandspine.com]
The disease is more common in the Mediterranean or in people with this ancestry than in the general population, and shows an incidence of 1:25,000 in the Italian population.2 MSL does not have a completely defined pathophysiology. [ncbi.nlm.nih.gov]
Prevention
The results of this prophylactic procedure are encouraging, and, if it is performed early, the authors believe that Madelung deformity may be preventable, or at least controllable. [ncbi.nlm.nih.gov]
Chronic changes in the distal radial ulnar joint may prevent reduction of the distal radio ulnar joint by traction produced by shortening ulnar osteotomy. [eatonhand.com]
She was able to continue to participate successfully in competitive gymnastics, minimally restricted, with the aid of palmar wrist tape and a commercially available wrist brace to prevent end-range wrist extension. [bisp-surf.de]