Complex carpal malformation without a cause.
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.
Swanger
Ronald
R
Department of Radiology, New York Medical College, Valhalla, New York, USA. swangerr@wcmc.com
Faulkner
Christyna
C
Maldjian
Catherine
C
Schlesinger
Iris
I
Magill
Richard
R
Weinberg
Brighita
B
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*