Madelung deformity is caused by epiphyseal growth plate disturbance at the ulnar side of distal radius, resulting in a short radius compared with the ulna. The growth plate injury may be vascular, infectious, traumatic or muscular. Syndromes like nail-patella, Turner, Leri-Weill, Madelung dyschondrosteosis, and others maybe associated with the deformity. Treatment options are mainly surgical: radial/ulnar eiphysiodesis or corrective osteotomies and vicker ligament release.