Acquired Manus Valgus: A Difficult Problem with a Simple Solution

Abstract

Acquired manus valgus or acquired radial-club hand deformity of the wrist is an uncommon entity. Pathological destruction of the distal radius, following infection, trauma, or tumorous conditions in the paediatric population, often leads to radial shortening, ulnar lengthening and angulation, distal radioulnar joint dislocation, and radial deviation of the wrist. We report a case of acquired manus valgus treated by centralisation of the ulna on the wrist. At the 2-year follow-up, the patient had a functional, stable, and cosmetically acceptable wrist, with radiographic evidence of ulnocarpal fusion. It is an easy to perform, cost-effective surgery.

Keywords

• centralization
• manus valgus
• radial clubhand-like