Relationship of Functional Leg-Length Discrepancy to Abnormal Pronation

2006 ◽  
Vol 96 (6) ◽  
pp. 499-504 ◽  
Author(s):  
Brian A. Rothbart
Keyword(s):  
Relative Position ◽  
Significant Positive Correlation ◽  
Visual Assessment ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Foot Posture Index ◽  
Posture Index ◽  
Length Discrepancy ◽  
Foot Posture ◽  
Relationship Of

The objective of this study was to determine whether a correlation exists between abnormal pronation and functional leg-length discrepancies. Visual assessment and a pelvic thrust maneuver were used to identify the functionally short leg in 56 indigenous Mexicans (20 males and 36 females; mean age, 33 years; mean weight, 59 kg; and mean height, 1.60 m). The Foot Posture Index was used with a modified stance position to identify the more pronated foot. The posterosuperior iliac spines were used to identify the “relative” position of the innominate bones. The raw data obtained from this study were evaluated using the McNemar test for paired proportions. A significant positive correlation was found between abnormal pronation and hip position and between hip position and functional leg-length discrepancy. These results are consistent with a theoretical ascending dysfunctional pelvic model: Abnormal pronation pulls the innominate bones anteriorly (forward); anterior rotation of the innominate bones shifts the acetabula posteriorly and cephalad (backward and upward); and this shift in the acetabula hyperextends the knees and shortens the legs, with the shortest leg corresponding to the most pronated foot. (J Am Podiatr Med Assoc 96(6): 499-507, 2006)

Distance Between the Malleoli and the Ground

2017 ◽  
Vol 107 (2) ◽  
pp. 112-118 ◽  
Author(s):  
Estela Gomez Aguilar ◽  
Águeda Gómez Domínguez ◽  
Carolina Peña-Algaba ◽  
José M. Castillo-López
Keyword(s):  
Drop Test ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
San Jose ◽  
Leg Length Inequality ◽  
Length Discrepancy ◽  
Navicular Drop ◽  
Tape Measure ◽  
Foot Posture ◽  
The Difference

Background: The aim of this work is to introduce a useful method for the clinical diagnosis of leg-length inequality: distance between the malleoli and the ground (DMG). Methods: A transversal observational study was performed on 17 patients with leg-length discrepancy. Leg-length inequality was determined with different clinical methods: with a tape measure in a supine position from the anterior superior iliac spine (ASIS) to the internal and external malleoli, as the difference between the iliac crests when standing (pelvimeter), and as asymmetry between ASISs (PALpation Meter [PALM]; A&D Medical Products Healthcare, San Jose, California). The Foot Posture Index (FPI) and the navicular drop test were also used. The DMG with Perthes rule (perpendicular to the foot when standing), the distance between the internal malleolus and the ground (DIMG), and the distance between the external malleolus and the ground were designed by the authors. Results: The DIMG is directly related to the traditional ASIS–external malleolus measurement (P = .003), the FPI (P = .010), and the navicular drop test (P < .001). There are statistically significant differences between measurement of leg-length inequality with a tape measure, in supine decubitus, from the ASIS to the internal malleolus, and from the ASIS to the external malleolus. Conclusions: This new method (the DMG) is useful for diagnosing leg-length discrepancy and is related to the ASIS–external malleolus measurement. The DIMG is significantly inversely proportional to the degree of pronation according to the FPI. Conversely, determination of leg-length discrepancy with a tape measure from the ASIS to the malleoli cannot be performed interchangeably at the level of the internal or external malleolus.

scholarly journals Relationship between leg-length discrepancy and plantar fasciitis

2019 ◽  
Vol 13 (1) ◽  
pp. 77-82
Author(s):  
Henrique Mansur ◽  
Guilherme Gonçalves Feijó Carvalho ◽  
Thiago Coelho Paim Lima ◽  
Cesar Barbosa Gonçalves ◽  
João Luiz Quagliotti Durigan ◽  
...  
Keyword(s):  
Plantar Fasciitis ◽  
Cross Sectional Study ◽  
Lower Limbs ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Level Of Evidence ◽  
Cross Sectional ◽  
X Ray ◽  
Length Discrepancy ◽  
Foot Posture

Objective: This study evaluated the relationship between leg-length discrepancy (LLD) and plantar fasciitis (PF). Methods: A cross-sectional study was performed that measured the length of the lower limbs via a scanometry of patients with PF. Other risk factors such as body mass index (BMI), foot posture, and the presence of a plantar heel spur on foot X-ray were also evaluated. Results: Of the 54 participating patients, 44.4% were male with a mean age of 50.38 (23-73 years), 81.5% had pain in one foot, and 53.7% had plantigrade feet. We observed LLD in 88.9% of the sample, with a mean discrepancy of 0.749 cm (SD +/-0.63); 46.3% of the painful feet presented with spurs on X-ray. Conclusions: Approximately 90% of the patients presented with LLD, and the shorter limb was the affected side in most cases. Level of Evidence II; Prognostic Studies.

scholarly journals Relationship of Degenerative Changes of Lumbar Spine and Leg Length Discrepancy due to Developmental Dysplasia of the Hip

2004 ◽  
Vol 53 (2) ◽  
pp. 284-286
Author(s):  
Toru Yamaguchi ◽  
Takeshi Arizono ◽  
Toshio Tokuhisa ◽  
Masakazu Kozuma ◽  
Hironobu Akune ◽  
...  
Keyword(s):  
Lumbar Spine ◽  
Developmental Dysplasia ◽  
Degenerative Changes ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Length Discrepancy ◽  
Relationship Of ◽  
Dysplasia Of The Hip

Changes in patient-perceived leg length discrepancy following total hip arthroplasty

2021 ◽  
Author(s):  
Kentaro Iwakiri ◽  
Yoichi Ohta ◽  
Takashi Fujii ◽  
Yukihide Minoda ◽  
Akio Kobayashi ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Total Hip ◽  
Length Discrepancy
Sign in / Sign up

Export Citation Format

Share Document