Ranked #1 Children's Hospital by U.S. News & World Report
MyPatients provides referring primary care providers with secure access to their patients’ information.
Boston Children's has launched the world's 1st program dedicated to offering hand transplants to children who qualify.
Innovation insider is a semi-monthly e-newsletter analyzes innovations at Boston Children’s, other academic medical centers and from industry.
Read the latest blog by a Boston Children's doctor, clinician or staff member.
Support the hospital with a donation that helps kids get the care they need.
Combining training in adult and pediatric orthopedics, hand surgery, plastic surgery and microsurgery allows our surgeons to provide a comprehensive level of care unmatched in most other hospital settings.
--Donald S. Bae, MD, associate in Orthopedic Surgery, Boston Children's Hospital
If your child has been diagnosed with Madelung deformity (also knows at Madelung's Deformity), we at Boston Children’s Hospital will do everything we can to treat her—and you—with sensitivity and support.
Here are some of the basics of Madelung deformity:
• Madelung deformity is an arm condition that results in a malaligned wrist—the joint where the two long bones of the
forearm (the radius and ulna) meet the carpal bones of the hand.
• Madelung’s is a congenital condition, meaning that it’s something your child was born with, but it often doesn’t show
up until pre- or early adolescence.
• Girls are more often affected than boys.
• Most of the time, the condition affects both of a child’s wrists.
• Signs and symptoms can include:
- Limited range of motion (ROM) in wrist
- Wrist pain
- Visible changes in the appearance of the wrist
• The condition is usually diagnosed when a child is between 8 and 14 years old, although the condition can become
• Diagnosis is usually confirmed by a physical exam and x-rays.
• For children with no symptoms and only a minor bump, observation and monitoring may be all that is needed. But
more severe Madelung’s may be treated by surgery, and there are several surgical approaches.
• While surgery corrects the deformity, it can come back, especially in younger children. Boston Children’s doctors use
several strategies to reduce the risk of recurrence.
How Boston Children’s Hospital approaches Madelung deformity
You can have peace of mind knowing that the skilled experts in our Hand and Orthopedic Upper Extremity Program have treated thousands of babies and children with many arm and hand problems that range from the simple to the highly complex, including world-class treatment for Madelung deformity.. We provide expert diagnosis, treatment and care, and we benefit from our advanced clinical and scientific research.
Our Orthopedic Center is nationally known as the preeminent center for the care of children and young adults with a wide range of developmental, congenital, neuromuscular, sports related, traumatic and post-traumatic problems of the musculoskeletal system.
The Hand and Orthopedic Upper Extremity Program provides comprehensive care involving occupational and physical therapy, splinting, casting and reconstructive surgeries for infants, children and adolescents with complex congenital, neuromuscular, sports-related oncologic and traumatic upper limb conditions.
Madelung deformity: Reviewed by Donald Bae, MD
© Boston Children's Hospital; posted in 2012
The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”