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This research explores the connection between elastic stable intramedullary nailing and Madelung-type deformity stemming from growth disruptions.

January 23, 2026Open Access

Growth Plate Injury Leading to Madelung‐Type Deformity After ESIN in Children: A Case Report and a Narrative Review of the Literature

Key Points

This research explores the connection between elastic stable intramedullary nailing and Madelung-type deformity stemming from growth disruptions.
Case report of a child with growth plate injury after ESIN.
Narrative review of existing literature related to this deformity and surgical outcomes.
Analysis of surgical techniques and necessity for follow-up radiography.
Documented case of Madelung deformity following ESIN due to growth plate injury.
Stresses the importance of surgical precision in preventing growth disturbances.
Highlights the need for long-term monitoring to catch issues early.

Abstract

ABSTRACT Late asymmetric growth arrest of the distal ulna and subsequent Madelung‐type deformity may occur following elastic stable intramedullary nailing (ESIN) performed near the distal ulnar physis. Although causality cannot be definitively proven, meticulous surgical technique and structured long‐term radiographic follow‐up are essential to minimize risk and enable early detection of growth disturbance.

Growth Plate Injury Leading to Madelung‐Type Deformity After ESIN in Children: A Case Report and a Narrative Review of the Literature

Key Points

Abstract

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