4a – Madelung deformity in a 45-year-old woman with Turner’s syndrome. PA radiographs shows the typical findings of Madelung deformity including deficiency of the ulnar side of the distal radius resulting in increased radial and volar inclination of the radius, positive ulnar variance, and dorsal subluxation of the ulnar head. The severe shortening of the fourth metacarpal is a characteristic of Turner’s syndrome.