Madelung Deformity

  • Etiology: Idiopathic or traumatic or syndromic
  • Imaging Radiograph:
    — Positive ulnar variance
    — V-shaped proximal carpal row
    — Palmar carpal subluxation
    — Decreased carpal angle
    — Radius – shortening and premature volar and ulnar physeal closure
    — Ulna – dorsal dislocation
  • DDX:
  • Complications:
  • Treatment:
  • Clinical:

Radiology Cases of Madelung Deformity

Radiology Cases of Unilateral Madelung Deformity

Radiograph of Madelung deformity
AP radiograph of the wrist (left) shows a positive ulnar variance and a V-shaped proximal carpal row while the lateral radiograph (right) shows palmar carpal subluxation.

Radiology Cases of Bilateral Madelung Deformity

Radiograph of Madelung deformity
AP radiograph of the left forearm (left) shows shortening and bowing of the radius and positive ulnar variance. AP radiograph of the right forearm (right) shows shortening and bowing of the radius and negative ulnar variance.