Relationship of Functional Leg-Length Discrepancy to Abnormal Pronation: Author's Response

2006 ◽  
Vol 96 (6) ◽  
pp. 507-507
Author(s):  
Brian A. Rothbart
Keyword(s):  
Leg Length Discrepancy ◽  
Leg Length ◽  
Length Discrepancy ◽  
Relationship Of

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)

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

scholarly journals Epiphysiodesis for the treatment of tall stature and leg length discrepancy

2021 ◽  
Author(s):  
Madeleine Willegger ◽  
Markus Schreiner ◽  
Alexander Kolb ◽  
Reinhard Windhager ◽  
Catharina Chiari
Keyword(s):  
Surgical Planning ◽  
Multidisciplinary Approach ◽  
Treatment Options ◽  
Bone Age ◽  
Leg Length Discrepancy ◽  
Tall Stature ◽  
Complication Rates ◽  
Leg Length ◽  
Growth Prediction ◽  
Length Discrepancy

SummaryPainful orthopedic conditions associated with extreme tall stature and leg length discrepancy (LLD) include back pain and adopting bad posture. After failure of conservative treatment options, blocking of the growth plates (epiphysiodesis) around the knee emerged as gold standard in patients with tall stature and LLD in the growing skeleton. Surgical planning includes growth prediction and evaluation of bone age. Since growth prediction is associated with a certain potential error, adequate planning and timing of epiphysiodesis are the key for success of the treatment. LLD corrections up to 5 cm can be achieved, and predicted extreme tall stature can be limited. Percutaneous epiphysiodesis techniques are minimally invasive, safe and efficient methods with low complication rates. In general, a multidisciplinary approach should be pursued when treating children and adolescents with tall stature.

The effect of leg length discrepancy upon load distribution in the static phase (standing)

2014 ◽  
Vol 40 (4) ◽  
pp. 561-563 ◽  
Author(s):  
V. Swaminathan ◽  
M. Cartwright-Terry ◽  
J.D. Moorehead ◽  
A. Bowey ◽  
S.J. Scott
Keyword(s):  
Load Distribution ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Length Discrepancy ◽  
Static Phase
Sign in / Sign up

Export Citation Format

Share Document