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Isolated wedge osteotomy of the ulna for mild Madelung's deformity.

Isolated wedge osteotomy of the ulna for mild Madelung's deformity. Research Abstract Details 

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  • Isolated wedge osteotomy of the ulna for mild Madelung's deformity. Abstract Text:

    yann glardYann Glard, gay Gay,franck launayFranck Launay,didier guinardDidier Guinard, ,yann glardYann Glard, gay Gay,franck launayFranck Launay,didier guinardDidier Guinard, ,

    PURPOSE: Madelung's deformity is a characteristic pattern of anterior-ulnar bowing of the radius and a dorsally prominent ulnar head. Even if this deformity is associated with a certain degree of functional impairment, patients are satisfied with their function and mainly complain about the appearance of their wrists. The purpose of this study was to report a new surgical procedure (shortening combined with a slight anterior angulation osteotomy of the ulna) aiming to improve the appearance of the wrist and to relieve pain if present without compromising the function of the wrist. This technique is suitable for mild cases of Madelung's deformity. METHODS: This is a retrospective study of 4 wrists in 3 patients. All patients had a mild form of Madelung's deformity (without any dislocation of the lunate). Even if it was not their primary motivation to have surgery, all of the patients preoperatively experienced some wrist pain. An anterior angulation and shortening osteotomy of the ulna shaft was performed through a dorsal medial approach and fixed with a dynamic compression plate. RESULTS: At 24 months follow-up, all of the patients were satisfied with the appearance of their wrists and forearms. The distal radioulnar joint was congruent radiologically in all cases, and the range of active pain-free forearm rotation improved. CONCLUSIONS: This technique seems to be safe and reliable in mild cases of Madelung's deformity.

    Isolated wedge osteotomy of the ulna for mild Madelung's deformity. Publishing Authors By Initials

    y glardY Glard,a gayA Gay,f launayF Launay,d guinardD Guinard,r R ,y glardY Glard,a gayA Gay,f launayF Launay,d guinardD Guinard,r R ,

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    Isolated wedge osteotomy of the ulna for mild Madelung's deformity. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: The Journal of hand surgery

    VOLUME: 32

    Page Numbers: 1037-42

    Journal Abbreviation:

    ISSN: 0363-5023

    DAY: 10

    MONTH: Sep

    YEAR: 2007

    Isolated wedge osteotomy of the ulna for mild Madelung's deformity. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 7609631

    Isolated wedge osteotomy of the ulna for mild Madelung's deformity. Keywords Mesh Terms:

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    Grant and Affiliation Information for Isolated wedge osteotomy of the ulna for mild Madelung's deformity.

    AFFILIATION: Department of Plastic and Reconstructive Surgery, Hôpital de la Conception, Marseille, France. yann.glard@gmail.com

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: J Hand Surg [Am]

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