Radiographic Spectrum of Severity in Madelung's Deformity

Tuder, Dmitry; Frome, Britt; Green, David P.

doi:10.1016/j.jhsa.2008.01.031

Cited by 13 publications

(6 citation statements)

References 10 publications

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“…In the normal wrist, the distal radial articular surface is concave in both sagittal and coronal planes, containing the triangular-shaped scaphoid fossa and the quadrangular-shaped lunate fossa. Whereas patients’ lunate fossa angles have been widely reported (McCarroll et al., 2010; Tuder et al., 2008; Zebala et al., 2007), the fossa shape has not been investigated. The abnormal lunate fossa shape in Madelung deformity is not surprising, as the deformity’s pathogenesis involves a premature growth plate arrest at the volar/ulnar aspects of the distal radius (Ghatan and Hanel, 2013), while leaving the anatomy at the radial aspect relatively intact.…”

Section: Discussionmentioning

confidence: 99%

“…These criteria are based on manual X-ray measurements, thereby introducing inter- and intra-rater differences and reducing the complex three-dimensional (3-D) anatomy to a 2-D view. This 2-D assessment has shown to be of limited diagnostic value (Farr et al., 2018; Tuder et al., 2008) and has prevented the quantification of several clinical features, including abnormalities of the lunate fossa and the proximal carpal row (Stehling et al., 2009). Nearly all previous studies have evaluated the deformity in 2-D form, with the majority adhering to the McCarroll criteria (Kampa et al., 2010; Laffosse et al., 2008; Mallard et al., 2013; Saffar and Badina, 2015; Steinman et al., 2013).…”

Section: Introductionmentioning

confidence: 99%

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Quantitative three-dimensional assessment of Madelung deformity

Peymani

Dobbe

Streekstra

et al. 2019

J Hand Surg Eur Vol

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In the diagnostic work-up of Madelung deformity conventional radiographic imaging is often used, assessing the three-dimensional deformity in a two-dimensional manner. A three-dimensional approach could expand our understanding of Madelung deformity’s complex wrist anatomy, while removing inter- and intra-rater differences. We measured previous two-dimensional-based and newly developed three-dimensional-based parameters in 18 patients with Madelung deformity (28 wrists) and 35 healthy participants (56 wrists). Madelung deformity wrists have increased levels of ulnar tilt, lunate subsidence, lunate fossa angle, and palmar carpal displacement. The lunate fossa is more concave and irregular, and angles between scaphoid, lunate, and triquetral bones are decreased. These findings validate the underlying principles of current two-dimensional criteria and reveal previously unknown anatomical abnormalities by utilizing novel three-dimensional parameters to quantify the radiocarpal joint.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Quantitative three-dimensional assessment of Madelung deformity

Peymani

Dobbe

Streekstra

et al. 2019

J Hand Surg Eur Vol

View full text Add to dashboard Cite

show abstract

“…Though negative ulnar variance was maintained, there was increased slope of the distal radial articular surface. This is consistant with a milder form of Madelung’s deformity [11]. There would be some associated stretching and weakening of the distal radioulnar joint.…”

Section: Discussionmentioning

confidence: 99%

Triple jeopardy: transscaphoid, transcapitate, transtriquetral, perilunate fracture dislocation

Garg

Goyal

Kotwal

2012

J Orthopaed Traumatol

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Carpal injuries are frequently underdiagnosed and underreported injuries of the hand. Scapholunate perilunate dissociation is the most common perilunate instability pattern seen in clinical practice. Transscaphoid, transtriquetral, transcapitate dislocation with a volar intercalated segment instability pattern is a very rare pattern of carpal injury. We describe a case with this unique pattern of injury, explaining its mechanism and treatment. Good outcome can be achieved in these injuries following open reduction and internal fixation with ligamentous repair.

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“…Vickers ligament is considered an abnormally short and thickened radiolunate ligament. Unlike the normal radiolunate ligament originates from the epiphysis of the distal radius, the VL rises more proximally from the radial metaphysis, creating a tether across the volar-ulnar physis that restricts growth across this segment, resulting in a "V" shaped deformity of the whole distal radio-ulnar joint surface [2,3,6]. More recently, another anomalous volar ligament just lateral to the VL, defined "radiotriquetral ligament" (RTL), was described in MD.…”

Section: Introductionmentioning

confidence: 99%

Radiotriquetral Ligament in Madelung’s Deformity Associated with Leri-Weill’s Dyschondrosteosis

Leucio¹,

Castelein²,

Bellemans³

et al. 2020

Cureus

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Madelung's deformity (MD) is frequently associated with Leri-Weill's dyschondrosteosis (LWD) even if the primary isolated form (PI-MD) is much more common. Recent studies pointed out how two abnormal ligaments, the Vickers ligament (VL) and the radiotriquetral ligament (RTL), are defining traits of MD. To date, in PI-MD, both VL and RTL have been reported. In MD associated with LWD (LWD-MD), the VL is also present, but the RTL has never been reported. We herein report the first case of MD associated with a genetically confirmed LDW with an RTL, detected on MRI. This report describes the MRI imaging features of MD-LWD, which have not been adequately characterized in previous literature.

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Radiographic Spectrum of Severity in Madelung's Deformity

Cited by 13 publications

References 10 publications

Quantitative three-dimensional assessment of Madelung deformity

Quantitative three-dimensional assessment of Madelung deformity

Triple jeopardy: transscaphoid, transcapitate, transtriquetral, perilunate fracture dislocation

Radiotriquetral Ligament in Madelung’s Deformity Associated with Leri-Weill’s Dyschondrosteosis

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