title: Complex carpal malformation without a cause.
abstract: Carpal dislocation is an uncommon event. We present a 4-year-old male child who had the clinical appearance of a Madelung's deformity; however, he failed to fulfill the radiological criteria for a Madelung's deformity. The carpal bones had not yet ossified making it difficult to arrive at a diagnosis using radiograph alone. Magnetic resonance imaging was diagnostic because of the ability to delineate the carpal cartilaginous ossification centers. Chronic wrist dislocation should be considered in the differential diagnosis of a long-standing wrist deformity that clinically resembles a Madelung's deformity in a young child.
authors.affiliation: Department of Radiology, New York Medical College, Valhalla, New York, USA. swangerr@wcmc.com
authors.forename: Ronald
authors.initials: R
authors.lastname: Swanger
authors.forename: Christyna
authors.initials: C
authors.lastname: Faulkner
authors.forename: Catherine
authors.initials: C
authors.lastname: Maldjian
authors.forename: Iris
authors.initials: I
authors.lastname: Schlesinger
authors.forename: Richard
authors.initials: R
authors.lastname: Magill
authors.forename: Brighita
authors.initials: B
authors.lastname: Weinberg
mesh_terms: D002348:Carpal Bones / Q000002:abnormalities* / Q000000981:diagnostic imaging; D002675:Child, Preschool; D003937:Diagnosis, Differential; D006228:Hand Deformities, Congenital / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006801:Humans; D016916:Joint Deformities, Acquired / Q000175:diagnosis* / Q000000981:diagnostic imaging; D004204:Joint Dislocations / Q000175:diagnosis* / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D014955:Wrist Joint / Q000000981:diagnostic imaging / Q000473:pathology*