Department of Pediatric Orthopaedics and Foot and Ankle Surgery, Orthopaedic Hospital Speising, Vienna, Austria.
Shriners Hospitals for Children, Philadelphia and Greenville; The Hospital for Special Surgery, New York, USA.
J Hand Surg Eur Vol. 2023 Dec;48(11):1116-1125. doi: 10.1177/17531934231191208. Epub 2023 Aug 12.
Madelung deformity remains a fascinating yet unresolved challenge. There is an increasing awareness for early diagnosis by healthcare providers with improvement in diagnostic modalities, however, the exact mechanisms for the development of the deformity have still to be clarified. While some corrective procedures have been described to effectively address an established deformity, the existing literature lacks clear and evidence-based treatment guidelines on how to proceed in daily practice. This review article aims to summarize the current best evidence on this topic, including particular areas of controversy and areas with need for future research.
马德隆畸形仍然是一个令人着迷但尚未解决的挑战。随着诊断手段的改进，医疗保健提供者对早期诊断的认识不断提高，然而，畸形发展的确切机制仍有待阐明。虽然已经描述了一些矫正程序来有效解决已确立的畸形，但现有的文献缺乏关于在日常实践中如何进行的明确和基于证据的治疗指南。本文旨在总结该主题的最新最佳证据，包括争议特别大的领域和需要未来研究的领域。
