Madelung deformity and Madelung-type deformities: a review of the clinical and radiological characteristics.
Publication/Presentation Date
11-1-2015
Abstract
Madelung deformity of the distal radius results from premature closure of the medial volar aspect of the distal radial physis, leading to increased volar tilt and increased inclination of the radial articular surface, triangulation of the carpus with proximal migration of the lunate and dorsal displacement of the distal ulna. The deformity is particularly common in Leri-Weill dyschondrosteosis, but it may also occur in isolation. True Madelung deformity can be differentiated from Madelung-type deformities by the presence of an anomalous radiolunate ligament (Vickers ligament). In this article, we will review the imaging characteristics of true Madelung deformity, including the common "distal radius" variant, the less common "entire radius" variant and "reverse" Madelung deformity. We will discuss the role of the Vickers ligament in disease pathogenesis and its use in differentiating true Madelung deformity from Madelung-type deformities arising from trauma or multiple hereditary exostoses. Surgical management of these patients will also be addressed.
Volume
45
Issue
12
First Page
1856
Last Page
1863
ISSN
1432-1998
Published In/Presented At
Ali, S., Kaplan, S., Kaufman, T., Fenerty, S., Kozin, S., & Zlotolow, D. A. (2015). Madelung deformity and Madelung-type deformities: a review of the clinical and radiological characteristics. Pediatric radiology, 45(12), 1856–1863. https://doi.org/10.1007/s00247-015-3390-0
Disciplines
Diagnosis | Medicine and Health Sciences | Other Analytical, Diagnostic and Therapeutic Techniques and Equipment | Radiology
PubMedID
26135644
Department(s)
Department of Radiology and Diagnostic Medical Imaging
Document Type
Article