Reverse wedge osteotomy of the distal radius in Madelung's deformity
Summary Madelung's deformity results from a growth defect in the palmar and ulnar region of the distal radius. It presents as an excessively inclined radial joint surface, inducing “spontaneous progressive palmar subluxation of the wrist”. The principle of reverse wedge osteotomy (RWO) consists...
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Veröffentlicht in: | Orthopaedics & traumatology, surgery & research surgery & research, 2013-06, Vol.99 (4), p.S279-S283 |
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description | Summary Madelung's deformity results from a growth defect in the palmar and ulnar region of the distal radius. It presents as an excessively inclined radial joint surface, inducing “spontaneous progressive palmar subluxation of the wrist”. The principle of reverse wedge osteotomy (RWO) consists in the reorientation of the radial joint surface by taking a circumferential bone wedge, the base of which is harvested from the excess of the radial and dorsal cortical bone of the distal radius, then turning it over and putting back this reverse wedge into the osteotomy so as to obtain closure on the excess and opening on the deficient cortical bone. RWO corrects the palmar subluxation of the carpus and improves distal radio-ulnar alignment. All five bilaterally operated patients were satisfied, esthetically and functionally. Its corrective power gives RWO a place apart among the surgical techniques currently available in Madelung's deformity. |
doi_str_mv | 10.1016/j.otsr.2013.03.007 |
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It presents as an excessively inclined radial joint surface, inducing “spontaneous progressive palmar subluxation of the wrist”. The principle of reverse wedge osteotomy (RWO) consists in the reorientation of the radial joint surface by taking a circumferential bone wedge, the base of which is harvested from the excess of the radial and dorsal cortical bone of the distal radius, then turning it over and putting back this reverse wedge into the osteotomy so as to obtain closure on the excess and opening on the deficient cortical bone. RWO corrects the palmar subluxation of the carpus and improves distal radio-ulnar alignment. All five bilaterally operated patients were satisfied, esthetically and functionally. Its corrective power gives RWO a place apart among the surgical techniques currently available in Madelung's deformity.</description><identifier>ISSN: 1877-0568</identifier><identifier>EISSN: 1877-0568</identifier><identifier>DOI: 10.1016/j.otsr.2013.03.007</identifier><identifier>PMID: 23622863</identifier><language>eng</language><publisher>France: Elsevier Masson SAS</publisher><subject>Adult ; Cohort Studies ; Female ; Growth Disorders - pathology ; Growth Disorders - physiopathology ; Growth Disorders - surgery ; Humans ; Life Sciences ; Madelung ; Orthopedics ; Osteochondrodysplasias - pathology ; Osteochondrodysplasias - physiopathology ; Osteochondrodysplasias - surgery ; Osteotomy - methods ; Radius ; Radius - surgery ; Range of Motion, Articular ; Recovery of Function ; Surgery ; Treatment Outcome ; Wedge osteotomy ; Wrist Joint - pathology ; Wrist Joint - physiopathology ; Young Adult</subject><ispartof>Orthopaedics & traumatology, surgery & research, 2013-06, Vol.99 (4), p.S279-S283</ispartof><rights>2013</rights><rights>Copyright © 2013. Published by Elsevier Masson SAS.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c489t-de3341cb8bdd6237103aa863d563979b0567ae42e375f76f5ccd65af6ea4c68b3</citedby><cites>FETCH-LOGICAL-c489t-de3341cb8bdd6237103aa863d563979b0567ae42e375f76f5ccd65af6ea4c68b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1877056813000522$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,3536,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23622863$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://univ-angers.hal.science/hal-03265947$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Mallard, F</creatorcontrib><creatorcontrib>Jeudy, J</creatorcontrib><creatorcontrib>Rabarin, F</creatorcontrib><creatorcontrib>Raimbeau, G</creatorcontrib><creatorcontrib>Fouque, P.-A</creatorcontrib><creatorcontrib>Cesari, B</creatorcontrib><creatorcontrib>Bizot, P</creatorcontrib><creatorcontrib>Saint-Cast, Y</creatorcontrib><title>Reverse wedge osteotomy of the distal radius in Madelung's deformity</title><title>Orthopaedics & traumatology, surgery & research</title><addtitle>Orthop Traumatol Surg Res</addtitle><description>Summary Madelung's deformity results from a growth defect in the palmar and ulnar region of the distal radius. It presents as an excessively inclined radial joint surface, inducing “spontaneous progressive palmar subluxation of the wrist”. The principle of reverse wedge osteotomy (RWO) consists in the reorientation of the radial joint surface by taking a circumferential bone wedge, the base of which is harvested from the excess of the radial and dorsal cortical bone of the distal radius, then turning it over and putting back this reverse wedge into the osteotomy so as to obtain closure on the excess and opening on the deficient cortical bone. RWO corrects the palmar subluxation of the carpus and improves distal radio-ulnar alignment. All five bilaterally operated patients were satisfied, esthetically and functionally. Its corrective power gives RWO a place apart among the surgical techniques currently available in Madelung's deformity.</description><subject>Adult</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Growth Disorders - pathology</subject><subject>Growth Disorders - physiopathology</subject><subject>Growth Disorders - surgery</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Madelung</subject><subject>Orthopedics</subject><subject>Osteochondrodysplasias - pathology</subject><subject>Osteochondrodysplasias - physiopathology</subject><subject>Osteochondrodysplasias - surgery</subject><subject>Osteotomy - methods</subject><subject>Radius</subject><subject>Radius - surgery</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Wedge osteotomy</subject><subject>Wrist Joint - pathology</subject><subject>Wrist Joint - physiopathology</subject><subject>Young Adult</subject><issn>1877-0568</issn><issn>1877-0568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kVuLFDEQRoMo7rr6B3yQvKkPM-bSSXpAhGW9rDAieHku0kn1bsbuzpqkR-bfm2bWRXwQAgnh1FfFKUKecrbmjOtXu3UsOa0F43LN6mHmHjnlrTErpnR7_6_3CXmU844xrbkUD8mJkFqIVstT8vYL7jFlpL_QXyGNuWAscTzQ2NNyjdSHXOxAk_VhzjRM9JP1OMzT1fNMPfYxjaEcHpMHvR0yPrm9z8j39---XVyutp8_fLw4365c027KyqOUDXdd23mvhTScSWvrFF5puTGbrk5qLDYCpVG90b1yzmtle422cbrt5Bl5ecy9tgPcpDDadIBoA1yeb2H5Y1JotWnMnlf2xZG9SfHnjLnAGLLDYbATxjkDl0o1RjHNKiqOqEsx54T9XTZnsJiGHSymYTFde0A1XYue3ebP3Yj-ruSP2gq8PgJYjewDJsgu4OTQh4SugI_h__lv_il3Q5iCs8MPPGDexTlN1TVwyAIYfF12vayaS8aYEkL-BgmVoxs</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Mallard, F</creator><creator>Jeudy, J</creator><creator>Rabarin, F</creator><creator>Raimbeau, G</creator><creator>Fouque, P.-A</creator><creator>Cesari, B</creator><creator>Bizot, P</creator><creator>Saint-Cast, Y</creator><general>Elsevier Masson SAS</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>20130601</creationdate><title>Reverse wedge osteotomy of the distal radius in Madelung's deformity</title><author>Mallard, F ; Jeudy, J ; Rabarin, F ; Raimbeau, G ; Fouque, P.-A ; Cesari, B ; Bizot, P ; Saint-Cast, Y</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-de3341cb8bdd6237103aa863d563979b0567ae42e375f76f5ccd65af6ea4c68b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Growth Disorders - pathology</topic><topic>Growth Disorders - physiopathology</topic><topic>Growth Disorders - surgery</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Madelung</topic><topic>Orthopedics</topic><topic>Osteochondrodysplasias - pathology</topic><topic>Osteochondrodysplasias - physiopathology</topic><topic>Osteochondrodysplasias - surgery</topic><topic>Osteotomy - methods</topic><topic>Radius</topic><topic>Radius - surgery</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Wedge osteotomy</topic><topic>Wrist Joint - pathology</topic><topic>Wrist Joint - physiopathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mallard, F</creatorcontrib><creatorcontrib>Jeudy, J</creatorcontrib><creatorcontrib>Rabarin, F</creatorcontrib><creatorcontrib>Raimbeau, G</creatorcontrib><creatorcontrib>Fouque, P.-A</creatorcontrib><creatorcontrib>Cesari, B</creatorcontrib><creatorcontrib>Bizot, P</creatorcontrib><creatorcontrib>Saint-Cast, Y</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Orthopaedics & traumatology, surgery & research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mallard, F</au><au>Jeudy, J</au><au>Rabarin, F</au><au>Raimbeau, G</au><au>Fouque, P.-A</au><au>Cesari, B</au><au>Bizot, P</au><au>Saint-Cast, Y</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reverse wedge osteotomy of the distal radius in Madelung's deformity</atitle><jtitle>Orthopaedics & traumatology, surgery & research</jtitle><addtitle>Orthop Traumatol Surg Res</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>99</volume><issue>4</issue><spage>S279</spage><epage>S283</epage><pages>S279-S283</pages><issn>1877-0568</issn><eissn>1877-0568</eissn><abstract>Summary Madelung's deformity results from a growth defect in the palmar and ulnar region of the distal radius. It presents as an excessively inclined radial joint surface, inducing “spontaneous progressive palmar subluxation of the wrist”. The principle of reverse wedge osteotomy (RWO) consists in the reorientation of the radial joint surface by taking a circumferential bone wedge, the base of which is harvested from the excess of the radial and dorsal cortical bone of the distal radius, then turning it over and putting back this reverse wedge into the osteotomy so as to obtain closure on the excess and opening on the deficient cortical bone. RWO corrects the palmar subluxation of the carpus and improves distal radio-ulnar alignment. All five bilaterally operated patients were satisfied, esthetically and functionally. Its corrective power gives RWO a place apart among the surgical techniques currently available in Madelung's deformity.</abstract><cop>France</cop><pub>Elsevier Masson SAS</pub><pmid>23622863</pmid><doi>10.1016/j.otsr.2013.03.007</doi><oa>free_for_read</oa></addata></record> |
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subjects | Adult Cohort Studies Female Growth Disorders - pathology Growth Disorders - physiopathology Growth Disorders - surgery Humans Life Sciences Madelung Orthopedics Osteochondrodysplasias - pathology Osteochondrodysplasias - physiopathology Osteochondrodysplasias - surgery Osteotomy - methods Radius Radius - surgery Range of Motion, Articular Recovery of Function Surgery Treatment Outcome Wedge osteotomy Wrist Joint - pathology Wrist Joint - physiopathology Young Adult |
title | Reverse wedge osteotomy of the distal radius in Madelung's deformity |
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