This adolescent patient presented with a bilateral Madelung's deformity of the wrists with limited range of motion and significant pain, predominantly on the left wrist. The deformity included a collapsed volar rim of the radius, that increased the likelihood of subluxation and a positive ulna variance. The surgeon requested a 3D reconstruction of the patient's anatomy and patient-specific guides for the left radius that would facilitate the restoration of the distal radial surface and correct the ulna variance to better resemble healthy anatomy

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