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Madelung Deformity of the Wrist Managed Conservatively
A 19-year-old female presented with pain, deformity, and slightly restricted left wrist motion for five years with gradual progression. Physical examination revealed volar subluxation of the left hand, dorsally prominent ulnar styloid, radial and dorsal bowing of the distal forearm, and mild restric...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306668/ https://www.ncbi.nlm.nih.gov/pubmed/32582486 http://dx.doi.org/10.7759/cureus.8225 |
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author | Shahi, Pratyush Sudan, Aarushi Sehgal, Apoorv Meher, Debasish Meena, Umesh |
author_facet | Shahi, Pratyush Sudan, Aarushi Sehgal, Apoorv Meher, Debasish Meena, Umesh |
author_sort | Shahi, Pratyush |
collection | PubMed |
description | A 19-year-old female presented with pain, deformity, and slightly restricted left wrist motion for five years with gradual progression. Physical examination revealed volar subluxation of the left hand, dorsally prominent ulnar styloid, radial and dorsal bowing of the distal forearm, and mild restriction in wrist dorsiflexion. Radiographs showed a failure of ossification of the ulnar side of the distal radial epiphysis, increased radial inclination angle, dorsal subluxation of the distal ulna, V-shaped proximal carpal row due to proximal migration of the lunate, and increased interosseous space. A diagnosis of Madelung deformity of the left wrist was made. Conservative management with oral analgesics, activity restriction, and a volar splint was done as the patient was skeletally mature, had only mild pain with no functional limitation or gross deformity. At the six-month follow-up, she was doing well with decreased pain and no new complaints. |
format | Online Article Text |
id | pubmed-7306668 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-73066682020-06-23 Madelung Deformity of the Wrist Managed Conservatively Shahi, Pratyush Sudan, Aarushi Sehgal, Apoorv Meher, Debasish Meena, Umesh Cureus Orthopedics A 19-year-old female presented with pain, deformity, and slightly restricted left wrist motion for five years with gradual progression. Physical examination revealed volar subluxation of the left hand, dorsally prominent ulnar styloid, radial and dorsal bowing of the distal forearm, and mild restriction in wrist dorsiflexion. Radiographs showed a failure of ossification of the ulnar side of the distal radial epiphysis, increased radial inclination angle, dorsal subluxation of the distal ulna, V-shaped proximal carpal row due to proximal migration of the lunate, and increased interosseous space. A diagnosis of Madelung deformity of the left wrist was made. Conservative management with oral analgesics, activity restriction, and a volar splint was done as the patient was skeletally mature, had only mild pain with no functional limitation or gross deformity. At the six-month follow-up, she was doing well with decreased pain and no new complaints. Cureus 2020-05-21 /pmc/articles/PMC7306668/ /pubmed/32582486 http://dx.doi.org/10.7759/cureus.8225 Text en Copyright © 2020, Shahi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Shahi, Pratyush Sudan, Aarushi Sehgal, Apoorv Meher, Debasish Meena, Umesh Madelung Deformity of the Wrist Managed Conservatively |
title | Madelung Deformity of the Wrist Managed Conservatively |
title_full | Madelung Deformity of the Wrist Managed Conservatively |
title_fullStr | Madelung Deformity of the Wrist Managed Conservatively |
title_full_unstemmed | Madelung Deformity of the Wrist Managed Conservatively |
title_short | Madelung Deformity of the Wrist Managed Conservatively |
title_sort | madelung deformity of the wrist managed conservatively |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7306668/ https://www.ncbi.nlm.nih.gov/pubmed/32582486 http://dx.doi.org/10.7759/cureus.8225 |
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