ABSTRACT Late asymmetric growth arrest of the distal ulna and subsequent Madelung‐type deformity may occur following elastic stable intramedullary nailing (ESIN) performed near the distal ulnar physis. Although causality cannot be definitively proven, meticulous surgical technique and structured long‐term radiographic follow‐up are essential to minimize risk and enable early detection of growth disturbance.
Cosentino et al. (Thu,) studied this question.