{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:17:43Z","timestamp":1787753863668,"version":"build-2784847793"},"reference-count":13,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 19-year-old woman had 4 years of right-wrist pain, weakness, and limited motion. No syndromic stigmata or family history. Radiographs showed isolated unilateral Madelung deformity with negative ulnar variance. Planning required radial shortening; a modified double-cut dome osteotomy with segmental resection was performed, with Vickers ligament release and volar plate fixation. At 12 months, union was achieved with restored alignment and neutral ulnar variance; she reported complete pain relief and full function. Wrist motion and grip strength normalized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This modified double-cut dome osteotomy permits intentional resection for radial shortening while preserving multiplanar correction in atypical negative ulnar variance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence:<\/jats:title>\n                    <jats:p>IV<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.26.00044","type":"journal-article","created":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T18:00:22Z","timestamp":1775844022000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Modified Distal-Radial Dome Osteotomy With Segmental Resection for Madelung Deformity"],"prefix":"10.2106","volume":"16","author":[{"given":"Jose Antonio","family":"Prieto-Mer\u00e9","sequence":"first","affiliation":[{"name":"Hospital \u201cCeibal\u201d de Accidentes, Guatemalan Social Security Institute, Guatemala, Guatemala"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6017-1190","authenticated-orcid":false,"given":"Sof\u00eda","family":"Sili\u00e9zar","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad Francisco Marroqu\u00edn, Guatemala, Guatemala"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6170-6037","authenticated-orcid":false,"given":"Javier","family":"Grajeda","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Universidad Francisco Marroqu\u00edn, Guatemala, Guatemala"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4295-8878","authenticated-orcid":false,"given":"Jos\u00e9 Francisco","family":"Arce","sequence":"additional","affiliation":[{"name":"Hospital \u201cCeibal\u201d de Accidentes, Guatemalan Social Security Institute, Guatemala, Guatemala"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4]]},"reference":[{"issue":"6","key":"bib1-20260410","first-page":"372","article-title":"Madelung deformity","volume":"21","author":"Ghatan","year":"2013","journal-title":"J Am Acad Orthop Surgeons."},{"issue":"10","key":"bib2-20260410","doi-asserted-by":"crossref","first-page":"2090","DOI":"10.1016\/j.jhsa.2015.03.033","article-title":"Madelung deformity","volume":"40","author":"Kozin","year":"2015","journal-title":"J Hand 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Radiol."},{"issue":"1","key":"bib9-20260410","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1186\/s12891-024-07245-z","article-title":"Assessment of 3.0 tesla magnetic resonance imaging in Madelung's deformity: findings and implications","volume":"25","author":"Ma","year":"2024","journal-title":"BMC Musculoskelet Disord."},{"issue":"10","key":"bib10-20260410","doi-asserted-by":"crossref","first-page":"1037.e1","DOI":"10.1016\/j.jhsa.2022.12.011","article-title":"Early results of 3-Dimensional planning and customized cutting guides for the treatment of severe madelung defofrmity","volume":"49","author":"Bachy","year":"2024","journal-title":"J Hand Surg."},{"issue":"13","key":"bib11-20260410","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":"Steinman","year":"2013","journal-title":"J Bone Joint Surg Am Vol."},{"issue":"9","key":"bib12-20260410","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":"Harley","year":"2006","journal-title":"J Hand Surg."},{"issue":"2","key":"bib13-20260410","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1007\/s00264-021-05266-0","article-title":"Retrospective study of radial dome osteotomy with volar plate fixation versus K-wires in Madelung's deformity: long-term follow-up","volume":"46","author":"Leti Acciaro","year":"2022","journal-title":"Int Orthop."}],"container-title":["JBJS Case 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