Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Leg length inequalities

Consequences of LLD:

  • Gait

  • Back Problems - backache, scoliosis, OA in long leg

Causes of LLD:

A. CONGENITAL      

B. ACQUIRED

1.Hemiatrophy 1. DDH
2.Hemihypertrophy **

2. Traumatic

Growth plate injury

Fractures **

3. Longitudinal Defects / Hemimelias

PFFD

Tibial Hemimelia  

Fibular Hemimelia  

3. Neurological

Polio

Cerebral Palsy

4. Bone Disease

Dysplasias

Neurofibromatosis **

Enchondromatosis (Olliers)

Diaphyseal Aclasis

4. Neoplastic (from hyperaemia) **
5. Vascular **

Klippel-Trenaunay (Hemihypertrophy & Haemangiomas)

Parke-Weber

5. Fixed Pelvic Obliquity

Scoliosis

Hip contractures

Sacral Agenesis

6. Congenital Coxa Vara   6. Acquired Coxa Vara  

  ** cause Overgrowth

Examination

Where is the discrepancy?

Is the discrepancy real?

What is the cause?

Standing:

  • Look for: scoliosis, pelvic obliquity, and joint (hip, knee, ankle) contracture  (each of these can give the false sense of leg length inequality)

  • Look for: hairy patches, vascular markings, muscle wasting, neurofibromas

  • Stand on pre-measured blocks and reassess any scoliosis or pelvic obliquity

  • Is lateral bending symmetrical?

  • Gait



This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.


© 2005-2007 Orthoteers.co.uk - last updated: 08 August 2007Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
About
Anatomy Atlas
Basic sciences
Classifications
Clinical Examination
Courses
Elbow
Extras
Foot and Ankle
FRCS(Tr&Orth) Exam
Glossary
Hand & Wrist
Help
Hip & Pelvis
Humerus
Imaging in Orthopaedics
Knee
Log Book
MCQ
News
Newsletters
Orthopaedic infections & Microbiology
Orthopaedic pathology
Paediatric orthopaedics
Perioperative issues
Rehabilitation
Shoulder
Spine
Statistics
Surgical approaches
Trauma
Home
Hide Menu