Madelung's deformity: Difference between revisions
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{{Infobox medical condition | |||
| name = Madelung's deformity | |||
| image = [[File:Madelung.jpg]] | |||
| caption = X-ray of a wrist showing Madelung's deformity | |||
| field = [[Orthopedic surgery]] | |||
| synonyms = Madelung deformity | |||
| symptoms = Wrist pain, limited range of motion, visible deformity | |||
| complications = [[Arthritis]], chronic pain | |||
| onset = Typically during [[adolescence]] | |||
| duration = Long-term | |||
| causes = [[Genetic]] factors, [[dysplasia]] of the distal radius | |||
| risks = [[Leri-Weill dyschondrosteosis]], [[Turner syndrome]] | |||
| diagnosis = [[Physical examination]], [[X-ray]] | |||
| differential = [[Rickets]], [[Multiple hereditary exostoses]] | |||
| treatment = [[Physical therapy]], [[surgery]] | |||
| prognosis = Variable, depending on severity and treatment | |||
| frequency = Rare | |||
}} | |||
{{Short description|A congenital deformity of the wrist}} | {{Short description|A congenital deformity of the wrist}} | ||
'''Madelung's deformity''' is a rare congenital condition affecting the wrist, characterized by a malformation of the distal radius, ulna, and carpal bones. This deformity results in a distinctive appearance and functional impairment of the wrist and forearm. | '''Madelung's deformity''' is a rare congenital condition affecting the wrist, characterized by a malformation of the distal radius, ulna, and carpal bones. This deformity results in a distinctive appearance and functional impairment of the wrist and forearm. | ||
==Pathophysiology== | ==Pathophysiology== | ||
Madelung's deformity is caused by an abnormal growth of the distal radius, leading to a volar and ulnar tilt. The condition is often associated with a shortened radius and an elongated ulna, which can result in a prominent ulnar head. The carpal bones may also be displaced, contributing to the wrist's abnormal appearance and function. | Madelung's deformity is caused by an abnormal growth of the distal radius, leading to a volar and ulnar tilt. The condition is often associated with a shortened radius and an elongated ulna, which can result in a prominent ulnar head. The carpal bones may also be displaced, contributing to the wrist's abnormal appearance and function. | ||
==Etiology== | ==Etiology== | ||
The exact cause of Madelung's deformity is not fully understood, but it is believed to be due to a genetic mutation. It is often associated with [[Leri-Weill dyschondrosteosis]], a genetic disorder caused by mutations in the SHOX gene. The condition can also occur sporadically without a family history. | The exact cause of Madelung's deformity is not fully understood, but it is believed to be due to a genetic mutation. It is often associated with [[Leri-Weill dyschondrosteosis]], a genetic disorder caused by mutations in the SHOX gene. The condition can also occur sporadically without a family history. | ||
==Clinical presentation== | ==Clinical presentation== | ||
Patients with Madelung's deformity typically present with wrist pain, limited range of motion, and a visible deformity. The wrist may appear shortened and bowed, with a prominent ulnar head. Symptoms often become more pronounced during adolescence as the bones grow. | Patients with Madelung's deformity typically present with wrist pain, limited range of motion, and a visible deformity. The wrist may appear shortened and bowed, with a prominent ulnar head. Symptoms often become more pronounced during adolescence as the bones grow. | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of Madelung's deformity is primarily based on clinical examination and radiographic findings. X-rays of the wrist reveal the characteristic changes in the radius, ulna, and carpal bones. MRI may be used to assess the soft tissue structures and any associated abnormalities. | Diagnosis of Madelung's deformity is primarily based on clinical examination and radiographic findings. X-rays of the wrist reveal the characteristic changes in the radius, ulna, and carpal bones. MRI may be used to assess the soft tissue structures and any associated abnormalities. | ||
==Treatment== | ==Treatment== | ||
Treatment of Madelung's deformity depends on the severity of the condition and the symptoms experienced by the patient. Non-surgical management includes physical therapy and pain management. Surgical options may be considered for severe cases and include procedures to correct the alignment of the radius and ulna, such as osteotomy or radial dome osteotomy. | Treatment of Madelung's deformity depends on the severity of the condition and the symptoms experienced by the patient. Non-surgical management includes physical therapy and pain management. Surgical options may be considered for severe cases and include procedures to correct the alignment of the radius and ulna, such as osteotomy or radial dome osteotomy. | ||
==Prognosis== | ==Prognosis== | ||
The prognosis for individuals with Madelung's deformity varies. Some patients experience minimal symptoms and maintain good function, while others may have significant pain and functional limitations. Early diagnosis and appropriate management can improve outcomes. | The prognosis for individuals with Madelung's deformity varies. Some patients experience minimal symptoms and maintain good function, while others may have significant pain and functional limitations. Early diagnosis and appropriate management can improve outcomes. | ||
==See also== | |||
== | |||
* [[Leri-Weill dyschondrosteosis]] | * [[Leri-Weill dyschondrosteosis]] | ||
* [[SHOX gene]] | * [[SHOX gene]] | ||
* [[Congenital disorder]] | * [[Congenital disorder]] | ||
[[Category:Congenital disorders of musculoskeletal system]] | [[Category:Congenital disorders of musculoskeletal system]] | ||
Latest revision as of 03:57, 8 April 2025
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Obesity, Sleep & Internal medicine
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| Madelung's deformity | |
|---|---|
| |
| Synonyms | Madelung deformity |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Wrist pain, limited range of motion, visible deformity |
| Complications | Arthritis, chronic pain |
| Onset | Typically during adolescence |
| Duration | Long-term |
| Types | N/A |
| Causes | Genetic factors, dysplasia of the distal radius |
| Risks | Leri-Weill dyschondrosteosis, Turner syndrome |
| Diagnosis | Physical examination, X-ray |
| Differential diagnosis | Rickets, Multiple hereditary exostoses |
| Prevention | N/A |
| Treatment | Physical therapy, surgery |
| Medication | N/A |
| Prognosis | Variable, depending on severity and treatment |
| Frequency | Rare |
| Deaths | N/A |
A congenital deformity of the wrist
Madelung's deformity is a rare congenital condition affecting the wrist, characterized by a malformation of the distal radius, ulna, and carpal bones. This deformity results in a distinctive appearance and functional impairment of the wrist and forearm.
Pathophysiology[edit]
Madelung's deformity is caused by an abnormal growth of the distal radius, leading to a volar and ulnar tilt. The condition is often associated with a shortened radius and an elongated ulna, which can result in a prominent ulnar head. The carpal bones may also be displaced, contributing to the wrist's abnormal appearance and function.
Etiology[edit]
The exact cause of Madelung's deformity is not fully understood, but it is believed to be due to a genetic mutation. It is often associated with Leri-Weill dyschondrosteosis, a genetic disorder caused by mutations in the SHOX gene. The condition can also occur sporadically without a family history.
Clinical presentation[edit]
Patients with Madelung's deformity typically present with wrist pain, limited range of motion, and a visible deformity. The wrist may appear shortened and bowed, with a prominent ulnar head. Symptoms often become more pronounced during adolescence as the bones grow.
Diagnosis[edit]
Diagnosis of Madelung's deformity is primarily based on clinical examination and radiographic findings. X-rays of the wrist reveal the characteristic changes in the radius, ulna, and carpal bones. MRI may be used to assess the soft tissue structures and any associated abnormalities.
Treatment[edit]
Treatment of Madelung's deformity depends on the severity of the condition and the symptoms experienced by the patient. Non-surgical management includes physical therapy and pain management. Surgical options may be considered for severe cases and include procedures to correct the alignment of the radius and ulna, such as osteotomy or radial dome osteotomy.
Prognosis[edit]
The prognosis for individuals with Madelung's deformity varies. Some patients experience minimal symptoms and maintain good function, while others may have significant pain and functional limitations. Early diagnosis and appropriate management can improve outcomes.
