Madelung Deformity: Radioscapholunate Arthrodesis With a Neo-DRUJ.

ABSTRACT:

Background

Madelung deformity is a rare wrist anomaly that causes considerable pain while restricting function. In this study, we describe a radioscapholunate (RSL) arthrodesis with a neo-distal radioulnar joint (DRUJ) in Madelung deformity patients with an abnormal sigmoid notch and compare results to patients after a reverse wedge osteotomy.

Methods

Six wrists underwent RSL arthrodesis with a neo-DRUJ in a two-phase approach: (1) modified RSL arthrodesis with triquetrectomy; and (2) distal scaphoidectomy. Seven wrists underwent a reverse wedge osteotomy procedure.

Results

There were no differences found in postoperative pain, grip strength, or range of motion (ROM), apart from extension, which was decreased after RSL arthrodesis with a neo-DRUJ. Quality of life and

SUBMITTER: Piek AR 

PROVIDER: S-EPMC10052619 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature