Edit concept Question Editor Create issue ticket

Madelung Deformity

Madelung%27s Disease


Presentation

  • On first presentation, the mean age was 22.5 years with a range from 10 years to 64 years. Twenty-four patients (77%) were female. The main complaints were pain, limited range of motion, and objectionable appearance.[ncbi.nlm.nih.gov]
  • They also presented clinical, radiographic, pathologic, epidemiologic, and etiologic theories regarding MD.[emedicine.com]
  • We report a female with a de novo 46,X,der(X)t(X;Y) (p22;q12) translocation who presented with short stature, mild clinical features of Turner syndrome and a Madelung deformity.[ncbi.nlm.nih.gov]
  • 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]
  • Madelung's deformity may be the only presenting symptom.[em-consulte.com]
Disability
  • Here, we describe a young female with a bilateral Madelung deformity, mild cognitive disability, some dysmorphic facial features, and a type E-like brachydactyly, in whom we identified a novel and de novo mutation (c.476T C; p.Val159Ala) in exon 6 of[ncbi.nlm.nih.gov]
  • The authors report a patient with moderate intellectual disability, short stature and no other radiological traits referred for subtelomeric screening. MLPA and sequencing results showed a heterozygous mutation in SHOX gene (A170P).[ncbi.nlm.nih.gov]
  • A Disabilities of the Arm, Shoulder and Hand (DASH) survey was completed. RESULTS: Twenty-seven patients underwent volar ligament release and distal radial dome osteotomy.[ncbi.nlm.nih.gov]
  • Conclusions: Although rare, Madelung deformity is typically corrected surgically in athletes with chronic pain and disability.[bisp-surf.de]
  • Rehab Golf Rehabilitation Paediatric Rehabilitation Cerebral Palsy Delayed Milestone Brachial Plexus Muscular Dystrophy Post Surgical Rehabilitation Fracture Rehabilitation Knee Replacement Rehabilitation Hip Replacement Rehabilitation Robotics For Hand Disability[physioline.in]
Limited Mobility
  • From Wikidata Jump to navigation Jump to search Madelung disease, or deformity (MD) is a predominantly bilateral wrist anomaly characterized by shortened and bowed radii and long ulnae leading to dorsal dislocation of the distal ulna and limited mobility[wikidata.org]
Wound Infection
  • One patient had a wound infection and another developed reflex sympathetic dystrophy.[ncbi.nlm.nih.gov]
Long Arm
  • Close the incision in routine fashion and apply a long arm cast. AFTERTREATMENT. The cast and pins are removed 4 weeks after surgery, and active exercises of the wrist are begun.[chambalravine.blogspot.com]
  • The pins and long-arm cast are usually removed at 6 weeks. Four weeks of additional below-elbow casting or thermoplastic splinting is usually provided. More prolonged casting is indicated if the osteotomy site remains tender or is healing slowly.[journals.lww.com]
Brachydactyly
  • Here, we describe a young female with a bilateral Madelung deformity, mild cognitive disability, some dysmorphic facial features, and a type E-like brachydactyly, in whom we identified a novel and de novo mutation (c.476T C; p.Val159Ala) in exon 6 of[ncbi.nlm.nih.gov]
Onset in Adolescence
  • Onset in adolescence, usually between 8 and 14 years of age. The abnormality may be acquired through trauma or infection, represent a component of a genetic bone dysplasia, or be inherited in isolation as an autosomal dominant trait.[whonamedit.com]

Treatment

  • The Wrist: Diagnosis and Operative Treatment, Second Edition is the most comprehensive text and reference on diagnosis and treatment of wrist disorders.[books.google.de]
  • […] agreement regarding etiology, pathogenesis, or treatment.[emedicine.com]
  • We have included information about the history and diagnosis of these conditions, the cause (if known), and the current concepts of treatment and expected outcomes.[ncbi.nlm.nih.gov]
  • 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]
  • Please consult your own licensed physician regarding diagnosis and treatment of any medical condition! Please see also our disclaimer . This site complies with the HONcode standard for health information: verify here . Database updated 2019-02-19.[diseasesdatabase.com]

Prognosis

  • […] the apex of the V-shaped radio-ulnar-carpal joint “V-shaped” proximal carpal row herniated proximal carpal row. dorsal subluxation of the distal radio-ulnar joint positive ulnar variance wedging of the carpus between the radius and ulna Treatment and prognosis[radiopaedia.org]

Etiology

  • […] agreement regarding etiology, pathogenesis, or treatment.[emedicine.com]
  • etiology, pathogenesis, or treatment.[thehealthscience.com]
  • It often has a genetic etiology. Symptoms: It is a congenital subluxation or dislocation of the distal end of ulna, due to malformation of the bones. The deformity is mainly characterized by pain, decreased range of motion, and deformity.[chennaiorthopaedics.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]

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]
  • […] 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]
  • Epidemiology Frequency Several hundred cases of MD have been presented in the literature since its first description.[thehealthscience.com]
Sex distribution
Age distribution

Pathophysiology

  • 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]

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]
  • Progressive deformity in the young child with considerable growth potential remaining requires release of Vickers ligament and radial physiolysis to prevent ongoing deterioration Concomitant ulnar epiphysiodesis may be necessary.[ncbi.nlm.nih.gov]
  • A shortening osteotomy may be prevented by early ulna epiphysiodesis in skeletally immature children older than 10 years of age. LEVEL OF EVIDENCE: Therapeutic level IV-case series.[ncbi.nlm.nih.gov]
  • 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]
  • It's a congenital deformity (since birth) and it's bilateral (on both sides) Since then, we have taken precautions to prevent problems or manage the pain that's there.[prettystrongblog.blogspot.com]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!