publication . Other literature type . Article . 2016

Madelung Deformity: Surgical Prophylaxis (Physiolysis) During the Late Growth Period by Resection of the Dyschondrosteosis Lesion

D VICKERS; G. NIELSEN;
  • Published: 29 Aug 2016
Abstract
The majority of cases of Madelung deformity are caused by hereditary dyschondrosteosis at the wrist. The principal lesion in the ulnar zone of the distal radial physis retards growth asymmetrically, especially in late childhood. Resection of this zone and its replacement with autologous fat (Langenskiold procedure, or physiolysis) restores growth and minimizes deformity. The resection of an abnormal ligament tethering the lunate proximally may assist carpal advancement. A series of 17 patients (24 wrists) treated over a 12-year period is presented, with sufficient follow-up for evaluation of 11 patients (15 wrists). The results of this prophylactic procedure are...
Subjects
Medical Subject Headings: body regions
free text keywords: Surgery, Transplantation, Medicine, business.industry, business, medicine.medical_specialty, Lunate, Wrist, medicine.anatomical_structure, Physis, Lesion, medicine.symptom, Ligament, Surgical prophylaxis, Anatomy, Madelung's deformity, medicine.disease, Deformity
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publication . Other literature type . Article . 2016

Madelung Deformity: Surgical Prophylaxis (Physiolysis) During the Late Growth Period by Resection of the Dyschondrosteosis Lesion

D VICKERS; G. NIELSEN;