{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,14]],"date-time":"2026-02-14T07:29:31Z","timestamp":1771054171341,"version":"3.50.1"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"03","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wrist Surg"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Distal radius realignment procedures such as the dome osteotomy have been shown to reliably correct the geometry of this three-dimensional deformity. However, it has not been clarified whether the correction is durable over time. We thus reviewed a prospective Madelung's database and evaluated all patients who received a radius dome osteotomy to see whether there was any loss of correction over time.<\/jats:p><jats:p>\n          Patients and Methods\u2003A total of 16 patients with 19 operated wrists were included. Mean age at surgery was 14 years; the most recent radiograph that was considered for analysis was obtained at a mean of 20 months after the index surgery. Three established radiographic deformity parameters (ulnar tilt, lunate subsidence, palmar carpal displacement) were repetitively measured by an independent observer over the course of the postoperative follow-up and compared using the analysis of variance statistics.<\/jats:p><jats:p>\n          Results\u2003A mild but nonsignificant worsening of deformity parameters was observed in six patients (32%). Overall, ulnar tilt improved from 50 to 40\u2009degrees after surgery and was 43\u2009degrees at latest follow-up. The values for lunate subsidence were \u22125.5, 0, and \u22121.6\u2009mm, respectively. Palmar carpal displacement did not recur after correction (21, 17, and 16\u2009mm, respectively).<\/jats:p><jats:p>\n          Conclusions\u2003Frontal plane parameters remodeled to a certain degree, although not in a statistically significant manner, soon after corrective osteotomies in Madelung's deformity. Although mild surgical overcorrection may be warranted in younger patients, it remains unclear if a concomitant distal radial epiphysiodesis would generally be beneficial.<\/jats:p><jats:p>\n          Level of Evidence\u2003Level IV<\/jats:p>","DOI":"10.1055\/s-0043-1768922","type":"journal-article","created":{"date-parts":[[2023,5,31]],"date-time":"2023-05-31T23:21:43Z","timestamp":1685575303000},"page":"236-240","source":"Crossref","is-referenced-by-count":1,"title":["Early Distal Radius Remodeling after Radius Dome Osteotomy in Madelung's Deformity"],"prefix":"10.1055","volume":"13","author":[{"given":"Robert","family":"Rus","sequence":"additional","affiliation":[{"name":"Evangelical Hospital, Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Scheider","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedics and Foot and Ankle Surgery, Orthopaedic Hospital Speising, Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3250-2593","authenticated-orcid":false,"given":"Sebastian","family":"Farr","sequence":"additional","affiliation":[{"name":"Department of Pediatric Orthopaedics and Foot and Ankle Surgery, Orthopaedic Hospital Speising, Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,31]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/0266-7681_88_90040-X","article-title":"Madelung deformity","volume":"13","author":"D Lamb","year":"1988","journal-title":"J Hand Surg [Br]"},{"key":"ref2","first-page":"259","volume-title":"Die spontane Subluxation der Hand nach vorne. Verhandlungen der Dtsch. Gesellschaft f\u00fcr Chir. 7th ed","author":"O Madelung","year":"1878"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/S0266-7681(05)80262-1","article-title":"Madelung deformity: surgical prophylaxis (physiolysis) during the late growth period by resection of the dyschondrosteosis lesion","volume":"17","author":"D Vickers","year":"1992","journal-title":"J Hand Surg [Br]"},{"issue":"06","key":"ref4","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1177\/1558944718793179","article-title":"Surgical Management of Madelung Deformity: A Systematic Review","volume":"14","author":"A Peymani","year":"2019","journal-title":"Hand (N Y)"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"379","DOI":"10.3109\/17453677708992012","article-title":"Madelung's deformity. 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A surgical technique","volume":"18","author":"H K Watson","year":"1993","journal-title":"J Hand Surg [Br]"},{"issue":"09","key":"ref7","doi-asserted-by":"crossref","first-page":"1499","DOI":"10.1016\/j.jhsa.2006.07.012","article-title":"Volar ligament release and distal radius dome osteotomy for correction of Madelung's deformity","volume":"31","author":"B J Harley","year":"2006","journal-title":"J Hand Surg Am"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1097\/00130911-200203000-00006","article-title":"Volar surgical correction of Madelung's deformity","volume":"6","author":"B J Harley","year":"2002","journal-title":"Tech Hand Up Extrem Surg"},{"issue":"13","key":"ref9","doi-asserted-by":"crossref","first-page":"1198","DOI":"10.2106\/JBJS.L.00714","article-title":"Volar ligament release and distal radial dome osteotomy for the correction of Madelung deformity: long-term follow-up","volume":"95","author":"S Steinman","year":"2013","journal-title":"J Bone Joint Surg Am"},{"issue":"06","key":"ref10","doi-asserted-by":"crossref","first-page":"1211","DOI":"10.1016\/j.jhsa.2005.06.024","article-title":"Madelung's deformity: quantitative assessment of x-ray deformity","volume":"30","author":"H RJ McCarroll Jr","year":"2005","journal-title":"J Hand Surg Am"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1055\/s-0037-1612636","article-title":"How reliable is the radiographic diagnosis of mild Madelung deformity?","volume":"7","author":"S Farr","year":"2018","journal-title":"J Wrist Surg"},{"issue":"04","key":"ref12","doi-asserted-by":"crossref","first-page":"S279","DOI":"10.1016\/j.otsr.2013.03.007","article-title":"Reverse wedge osteotomy of the distal radius in Madelung's deformity","volume":"99","author":"F Mallard","year":"2013","journal-title":"Orthop Traumatol Surg Res"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"772","DOI":"10.2106\/00004623-197557060-00006","article-title":"Madelung's deformity. An end-result study of surgical treatment","volume":"57","author":"C S Ranawat","year":"1975","journal-title":"J Bone Joint Surg Am"},{"issue":"05","key":"ref14","doi-asserted-by":"crossref","first-page":"817","DOI":"10.1302\/0301-620X.80B5.0800817","article-title":"Osteotomy of the radius and ulna for the Madelung deformity","volume":"80","author":"F B dos Reis","year":"1998","journal-title":"J Bone Joint Surg Br"}],"container-title":["Journal of Wrist Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1768922.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T10:56:26Z","timestamp":1730804186000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1768922"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,31]]},"references-count":14,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2024,5,27]]},"published-print":{"date-parts":[[2024,6]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1768922","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2163-3916","2163-3924"],"issn-type":[{"value":"2163-3916","type":"print"},{"value":"2163-3924","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,31]]}}}