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All Madelung deformities are not endocrine.
[achondroplasia]
Madelung
deformity
is
a
rare
inherited
disorder
associated
with
endocrine
disorders
like
Turner
's
syndrome
,
pseudohypoparathyroidism
,
but
can
be
seen
with
short
stature
homeobox
deficiency
conditions
such
as
Leri-
Weill
dyschondrosteosis
(
LWD
)
and
Langers
mesomelic
dysplasia
.
It
has
also
been
reported
following
trauma
to
the
distal
radius
epiphysis
neoplasia
mucopolysaccharidosis
(
MPS
)
and
achondroplasia
.
Madelung
deformity
is
an
abnormality
of
distal
radial
epiphysis
where
in
progressive
ulnar
and
volar
tilt
of
the
articular
surface
occurring
in
association
with
distal
subluxation
of
ulna
.
A
13
-
year
-old
girl
was
referred
to
us
for
evaluation
of
bilateral
deformity
of
wrist
and
short
stature
.
There
was
ulnar
deviation
and
dorsal
tilt
of
bilateral
hands
without
history
of
pain
to
the
joint
trauma
and
family
history
of
similar
illness
.
On
X-
ray
,
wrist
showed
malformed
distal
radial
epiphysis
with
dorsal
and
ulnar
shift
and
with
increased
length
of
phalanges
suggestive
of
Madelung
deformity
.
X-
ray
spine
was
normal
.
Ultrasound
abdomen
showed
normal
uterus
and
ovary
and
her
follicle
stimulating
hormone
.
Luteinizing
hormone
was
normal
and
so
was
urine
MPS
screening
.
Based
on
the
above
points
the
diagnosis
of
LWD
was
made
.
