Madelung’s Deformity: Diagnosis, Classification and Treatment.

Abstract

Madelung's deformity is a rare condition characterized by abnormal growth arrest of the distal radial physis. It can cause pain, restricted range of movement and visual deformity. Surgery aims to balance growth in skeletally immature patients and correct residual deformity in skeletally mature patients. Systematic review of the literature reveals a heterogenous and inconclusive evidence base, which makes management decisions difficult. Using the currently available evidence, a classification system is outlined, which is based upon the degree of skeletal maturity and the severity of the deformity and which provides a system for selecting appropriate surgical strategies.