Madelung's Deformity

We have presented a case of bilateral Madelung's deformity in a 15-year-old Nigerian girl. The authors believe that this is the first case to be reported in Nigeria. The deformities were corrected surgically by a combination of Darrach's procedures and bi-plane osteotomy. The clinical and radiological features were highlighted with particular reference to subluxation of the lower ulna; bowing of the distal radius and ulna; increase in interosseous space; lucency in the medial end of the distal radius; triangularization of the distal radial epiphysis and wedging of the carpal bones with the lunate at the apex and bayonet deformity of the hand. It is hoped that these features will help to unravel more cases and enable the correct incidence of this deformity to be determined in Nigeria

Adult polycystic kidney disease: a Nigerian family study

A 48-year old Nigerian male patient with adult polycystic kidney disease (PCK); chronic renal failure and hypertension is presented. Abdominal ultrasound confirmed the presence of multiple bilateral renal cysts together with extrarenal cysts in the liver and spleen. He was subsequently admitted with a cerebrovascular accident. All five of his junior siblings screened were shown to have the disease. His mother was also shown to have PCK; hypertension and renal impairment. The patient had a second fatal cerebrovascular accident five weeks into admission. The presentation of the disease and the implications of the autosomal dominant pattern of inheritance with virtual 100 percent penetrance are discussed. A case is made for anti-marriage counselling; and possibly sterilization in subjects with adult polycystic kidney disease