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What causes a lollipop wrist?

Published in Wrist Conditions 2 mins read

A lollipop wrist, more accurately known as Madelung's deformity, has an unknown exact cause. Here's a breakdown of what's currently understood:

Understanding Madelung's Deformity

Madelung's deformity is a skeletal condition affecting the wrist. It leads to a characteristic "lopsided" appearance, often described as a "lollipop" shape. The deformity primarily impacts the radius, one of the two long bones in the forearm.

Potential Causes

While the precise cause remains elusive, researchers have identified two primary contributing factors:

Potential Cause Description
Abnormal Growth Plate in the Radius The growth plate is an area near the end of long bones where growth occurs. An abnormality in this area of the radius might lead to uneven growth, causing the deformity.
Abnormality in the Wrist Ligament The ligament connecting the radius and the wrist's small bones might be abnormal, pulling on the radius and affecting its growth.

Key Points

  • Unknown Exact Cause: As the reference states, the exact cause of Madelung's deformity is unknown. This is an important consideration when understanding the condition.
  • Growth Plate Issues: The potential for abnormal growth plate function highlights a developmental aspect of this deformity, often appearing during the pre-teen or early teenage years.
  • Ligament Impact: The role of the wrist ligament is an important reminder that the condition is not just about bone growth; soft tissue also plays a part.

In Summary

While the specific trigger for Madelung's deformity remains a mystery, the prevailing theories focus on irregularities in the radius's growth plate or the associated wrist ligaments.