Cavadas Pedro C, Sanz Gimenez-Rico Juan Ramón, Cavadas Ana Ruo Lan
Clínica Cavadas, Paseo de Facultades 1, 46021 Valencia, Spain.
Universidad Cardenal Herrera-CEU, Carrer Lluís Vives 1, 46115 Alfara del Patriarca, Valencia, Spain.
JPRAS Open. 2025 Aug 6;45:466-470. doi: 10.1016/j.jpra.2025.08.002. eCollection 2025 Sep.
Madelung deformity is a hemi-epiphyseal dysplasia of the radioulnar axis. The prominent feature is radial deformity secondary to premature closure of the volar-ulnar side of the distal radial physics. The distal radius is malaligned with excessive ulnar and volar tilt, shortening and concomitant ulna plus deformity. Adults presenting most frequently complain of pain, limited wrist motion and poor cosmesis. Surgical indications in adult patients are severe pain and/or limitation of wrist motion. Current surgical treatments consist of various types of extraarticular osteotomies to improve the alignment of the distal radius epiphysis, without addressing the intrinsic deformity of the articular surface itself. The authors present a novel technique of intraarticular osteotomy in an adult patient with severely deformed articular distal radial articular facets. To the best of the authors' knowledge, no similar technique has been previously described in the literature.
马德隆畸形是桡尺骨轴半骨骺发育异常。其突出特征是桡骨远端骨骺掌尺侧过早闭合继发的桡骨畸形。桡骨远端排列不齐，伴有尺侧和掌侧过度倾斜、缩短以及合并的尺骨阳性畸形。成年患者最常见的主诉是疼痛、腕关节活动受限和外观不佳。成年患者的手术指征是严重疼痛和/或腕关节活动受限。目前的手术治疗包括各种类型的关节外截骨术，以改善桡骨远端骨骺的对线，而未解决关节面本身的内在畸形。作者介绍了一种针对成年患者严重畸形的桡骨远端关节面进行关节内截骨的新技术。据作者所知，此前文献中尚未描述过类似技术。
