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Madelung Deformity

Congenital or developmental deformity due to premature closure of ulnar volar physis of distal radius. More common in adolescent females; associated with Léri-Weill dyschondrosteosis, Turner syndrome. Clinical: wrist pain, cosmetic deformity, limited pronation/supination. X-ray: increased volar and ulnar tilt of distal radius, carpal wedging, positive ulnar variance. Treatment: mild—observation; severe—physiolysis, corrective osteotomy, ulnar shortening.

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Congenital or developmental deformity due to premature closure of ulnar volar physis of distal radius. More common in adolescent females; associated with Léri-Weill dyschondrosteosis, Turner syndrome. Clinical: wrist pain, cosmetic deformity, limited pronation/supination. X-ray: increased volar and ulnar tilt of distal radius, carpal wedging, positive ulnar variance. Treatment: mild—observation; severe—physiolysis, corrective osteotomy, ulnar shortening.
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Question 1

What is the most common association with Madelung deformity?

Question 2

Which of the following radiological features is NOT characteristic of Madelung deformity?

Question 3

A 15-year-old girl presents with wrist pain and a noticeable deformity of the wrist. On X-ray, there is a positive ulnar variance and carpal wedging. What is the likely d...

Question 4

Which surgical intervention is considered in severe cases of Madelung deformity?

Question 5

What is the typical age of presentation for Madelung deformity?

Question 6

Which clinical sign is most commonly observed in patients with Madelung deformity?

Question 7

What is the primary cause of the physeal arrest in Madelung deformity?

Question 8

In which condition is Madelung deformity NOT commonly associated?

Question 9

Which of the following best describes the wrist motion limitations in Madelung deformity?

Question 10

What is the typical female-to-male ratio observed in cases of Madelung deformity?