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Long-Term Follow-Up of Surgical Correction of Madelung’s Deformity with Conservation of the Distal Radioulnar Joint in Teenagers

From the Pediatric Orthopaedic Department, René Descartes Paris V University, Hôpital Necker-Enfants Malades, Paris, France

Correspondence: Dr A. Salon, 1 rue Jacques Offenbach, 75016 Paris, France.

Eleven wrists with painful Madelung deformity in seven patients were corrected during adolescence by a closing wedge osteotomy of the radius and a shortening osteotomy of the ulna, with conservation of the distal radioulnar joint. At late follow-up (9.7 years) function was considerably improved. When the ulnar head was correctly relocated during operation, a new distal radioulnar space developed. Shortening of the ulna must be generous and combined with slight flexion at the osteotomy.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 1, 22-25 (2000)
DOI: 10.1054/jhsb.1999.0304


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