Contraindications

The contraindications to surgery in radial dysplasia include:

• lack of elbow flexion
• extremely hypoplastic forearm; this includes a lack of radial wrist muscles in the presence of weak ulnar muscles; in this scenario, even with radialization a recurrence of radial deviation will occur - an ulnocarpal fusion is the preferred technique
• bilateral severe radial dysplasia
• severe systemic illness, usually related to congenital anomalies in other systems
• adults who have adjusted to their deformity