الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Madelung’s deformity is a rare congenital anomaly of the wrist caused by asymmetric growth of the distal radial physis secondary to a partial ulnar-sided arrest. The deformity is characterized by ulnar and palmar curvature of the distal radius, positive ulnar variance, and proximal subsidence of the lunate. It occurs more commonly in females than males and typically affects both wrists. The deformity can occur in isolation or as a part of a genetic syndrome. The pattern of inheritance varies, with some cases following a pseudoautosomal pattern and many others lacking a clear family history. Nonsurgical management is typically advocated in asymptomatic patients. Few studies exist on the natural history of the condition; however, extensor tendon ruptures have been reported in severe and chronic cases. Stiffness, pain, and patient concerns regarding wrist cosmesis have been cited as indications for surgery. Various techniques for surgical management of Madelung’s deformity have been described, but clear evidence of any single approach is lacking.