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

## TL;DR

This paper reports a case where a surgical procedure in children led to a Madelung-type deformity due to growth plate injury.

## Contribution

The paper contributes a case report and review highlighting potential risks of ESIN on growth plates in children.

## Key findings

- Madelung-type deformity can occur after ESIN near the distal ulnar physis.
- Meticulous surgical technique and long-term follow-up are crucial to minimize risks.
- Growth disturbance may manifest as late asymmetric growth arrest.

## 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.

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