\n
PURPOSE:<\/h4>\n
Adult patients with Madelung’s deformity may present with ulnar-sided wrist pain. Treatment often involves addressing the distal radial deformity. If there is focal wrist pathology and a positive ulnar variance, however, then an isolated ulnar-shortening osteotomy may provide symptomatic relief in these patients. The purpose of this study was to report our results of ulnar-shortening osteotomy without radial osteotomy in adult patients with Madelung’s deformity.<\/p>\n
METHODS:<\/h4>\n
From 1988 to 2001 9 wrists in 9 adult patients with Madelung’s deformity and ulnar-sided wrist pain underwent ulnar-shortening osteotomy. The distal radius abnormality was not addressed. All of the patients were women and the average age at the time of surgery was 34 years (range, 29-45 y). Two of the individuals were mesomelic dwarfs and the remaining 7 patients were otherwise normal. Surgery was performed after the patients failed at least 6 months of nonsurgical management.<\/p>\n
RESULTS:<\/h4>\n
All patients had improvement of their symptoms at an average follow-up evaluation of 42 months (range, 6-112 mo). All of the osteotomies united. One patient required replating for a delayed union. There were no infections and no ulnar carpal subluxation. Ulnar-positive variance correction averaged 4.4 mm. Postoperative range of motion and grip strength were equivalent to the contralateral wrist.<\/p>\n
CONCLUSIONS:<\/h4>\n
Ulnar-shortening osteotomy is a safe and reliable surgical procedure that can relieve ulnar-sided wrist pain in adult patients with symptomatic Madelung’s deformity and positive ulnar variance.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/form>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"
Treatment of Madelung’s deformity in adults by ulna reduction osteotomy. PubMed – NCBI Bruno RJ1, Blank JE, Ruby LK, Cassidy C, Cohen G, Bergfield TG. Author information 1Department of Orthopaedic Surgery, New England Medical Center, Tufts University School of Medicine, Boston, MA 02111, USA. Abstract PURPOSE: Adult patients with Madelung’s deformity may present with ulnar-sided […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[2,5],"tags":[8],"class_list":["post-82","post","type-post","status-publish","format-standard","hentry","category-anatomy","category-general","tag-madelungs-deformity"],"_links":{"self":[{"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/posts\/82","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/comments?post=82"}],"version-history":[{"count":1,"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/posts\/82\/revisions"}],"predecessor-version":[{"id":84,"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/posts\/82\/revisions\/84"}],"wp:attachment":[{"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/media?parent=82"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/categories?post=82"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/handsurgeon.org\/blog\/wp-json\/wp\/v2\/tags?post=82"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}