Treatment of Madelung Deformity: A Case Report and Literature Review

Madelung deformity can be defined as developmental and progressive deformity of the distal radio-ulnar and radiocarpal joints. Although that the exact etiology of the disease is still unknown, the main reasons are considered to be due to delayed growth rate of the medial side of the growth plate of the distal radius causing relatively shortening of the medial side of the radius. In this paper, we present a 22 years old female patient with left side Madelung's deformity presented with a gradually increasing pain over the years on the dorsal and ulnar side of her left wrist especially during sports activities accompanied by abnormal appearance of the wrist. The deformity was corrected by corrective dome osteotomy. After surgery; pain relieved and range of motion of wrist increased. Distal radius deformities associated with Madelung deformity, can be treated successfully with surgery especially in the presence of pain and cosmetic discomfort.