—Anton and his associates1 review 171 cases of Madelung's deformity collected from the literature and add 1 case of their own. They find that this deformity may involve any or all of the structures about the wrist. It is essentially, however, a defect of the lower end of the radius, an osteochondritic dysplasia with palmar bowing of the distal end of the radius. Posterior subluxation of the lower end of the ulna, always present, is more apparent than real. In the more severe forms there may be overriding of the ulna on the carpal bones. In 127 of the 171 cases reviewed, the deformity was bilateral. Heredity seemed to play a part in the development of the lesion in one third of the cases. The patients commonly had pain during the growing years, which ceased when growth in the radius ended. The authors advise palliative
KUHNS JG, ROBERTS SM, ELLISTON WA, et al. SIXTY-EIGHTH REPORT OF PROGRESS IN ORTHOPEDIC SURGERY. Arch Surg. 1939;38(5):964–978. doi:10.1001/archsurg.1939.01200110170014
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