Madelung deformity

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Madelung deformity

Bayonet-like attachment of the hand to the forearm: caused by volar flexion and shortening of the distal end of the radius.

Clinical image: the proximal row of the carpal bones is volarly subluxated, the ulnar end of the forearm protrudes dorsally;

Etiology: this deviation occurs after some fractures and epiphysiolysis of the distal end of the radius where the growth cartilage has been damaged.[1].

Madelung's wrist deformity is a typical finding in Léry-Weill type of dyschondrosteosis (OMIM: 127300), conditioned by a mutation in the SHOX (or SHOXY) gene [2].


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References[edit | edit source]

  1. KOUDELA, K., et al. Ortopedie. 1. edition. Praha : Karolinum, 2004. ISBN 80-246-0654-2.
  2. BELIN, V – CUSIN, V – VIOT, G. , et al. SHOX mutations in dyschondrosteosis (Leri-Weill syndrome). Nat Genet [online]1998, vol. 19, no. 1, p. 67-9, Available from <https://www.ncbi.nlm.nih.gov/pubmed/9590292>. ISSN 1061-4036.