Inter- and intrarater reliability of ulna variance versus lunate subsidence measurements in Madelung deformity.

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Abstract

[Indexed for MEDLINE] 20. JBJS Case Connect. 2024 Jul 26;14(3). doi: 10.2106/JBJS.CC.24.00109. eCollection 2024 Jul 1. Radioscapholunate Arthrodesis for Management of Madelung Deformity: A Case Report. Barrientos A(1), Margalit A, Ayalon O. Author information: (1)Department of Orthopaedic Surgery, NYU, New York, New York. CASE: A 32-year-old woman with bilateral Madelung deformity presented with severe pain and arthritis of the radiocarpal and distal radioulnar joints. At final follow-up, 17 months for the left and 12 months for the right wrist, she had excellent functional results with no pain. Range of motion was 30° of flexion and 30° of extension with full pronosupination. CONCLUSION: There is paucity in the literature regarding salvage procedures in adults with this deformity. We demonstrate treatment with distal ulna excision and an radioscapholunate arthrodesis. This procedure may be indicated in Madelung deformity and proximal radiocarpal and distal radioulnar joint arthritis. Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated. DOI: 10.2106/JBJS.CC.24.00109