Rheumatic disease aspects of leg length inequality

Rothenberg, Ralph J.

doi:10.1016/0049-0172(88)90020-0

Cited by 39 publications

(16 citation statements)

References 20 publications

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“…Increased pressure at the articular surface may then effect chondral damage. Rothenberg 49 also has suggested that sciatica is more likely to occur on the longer-limb side, while trochanteric bursitis may occur more often on the shorter-limb side.…”

Section: Pathologies Related To Limb Length Inequalitymentioning

confidence: 99%

“…In many cases of limb length inequality, noninvasive techniques such as shoe lifts 4,5,20,22,49,56 Gross 25 could not justify the use of routine lift therapy to correct less than 5 mm of limb length inequality. In his sample of 35 marathon runners, 16 out of 17 runners with a limb length inequality greater than 5 mm were asymptomatic without the use of lift therapy.…”

Section: Intervention Strategiesmentioning

confidence: 99%

“…This finding was supported by both Friberg 14 and Rothenberg. 49 Friberg 14 suggests that the hip joint in the longer limb would likely be in a varus position, which decreases the load-bearing surface of the femoral head. Increased pressure at the articular surface may then effect chondral damage.…”

Section: Pathologies Related To Limb Length Inequalitymentioning

confidence: 99%

“…2,4,5,9,57 Most clinicians agree that lift therapy for the treatment of limb length inequality should be implemented in small increments to facilitate adjustment to each change in lift magnitude. 4,5,9,14,23,49 Blustein and D'Amico 5 suggest an interval of 2 weeks between lift therapy adjustments and that each lift increment should not be more than 3 to 6 mm. They further suggest that correction of limb length inequality should be no greater than one-half of the difference between limb lengths.…”

Section: Intervention Strategiesmentioning

confidence: 99%

“…Some common etiologic factors are idiopathic developmental abnormalities, 4,5,41,55 fracture, 5,20,39,41,49,55 and trauma to the epiphyseal growth plate prior to skeletal maturity. 4,5,20,39,41,49,55 Examples of less common etiologies include degenerative disorders, 5,20,39,41,49,55 Legg-Calvé-Perthes disease, 4,5,20,49 cancer or other neoplastic changes, 39,41,49 and infections. 20 …”

Section: Etiological Factorsmentioning

confidence: 99%

See 4 more Smart Citations

Limb Length Inequality: Clinical Implications for Assessment and Intervention

Brady¹,

Dean²,

Skinner³

et al. 2003

J Orthop Sports Phys Ther

155

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The purpose of this paper is to review relevant literature concerning limb length inequalities in adults and to make recommendations for assessment and intervention based on the literature and our own clinical experience. Literature searches were conducted in the MEDLINE, PubMed, and CINAHL databases. Limb length inequality and common classification criteria are defined and etiological factors are presented. Common methods of detecting limb length inequality include direct (tape measure methods), indirect (pelvic leveling), and radiological techniques. Interventions include shoe inserts or external shoe lift therapy for mild cases. Surgery may be appropriate in severe cases. Little agreement exists regarding the prevalence of limb length inequality, the degree of limb length inequality that is considered clinically significant, and the reliability and validity of assessment methods. Based on correlational studies, the relationship between limb length inequality and orthopaedic pathologies is questionable. Stronger support for the link between low back pain (LBP) and limb length inequality is provided by intervention studies. Methods involving palpation of pelvic landmarks with block correction have the most support for clinical assessment of limb length inequality. Standing radiographs are suggested when clinical assessment methods are unsatisfactory. Clinicians should exercise caution when undertaking intervention strategies for limb length inequality of less than 5 mm when limb length inequality has been identified with clinical techniques. Recommendations are provided regarding intervention strategies. J Orthop Sports Phys Ther. 2003;33:221-234.

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Section: Pathologies Related To Limb Length Inequalitymentioning

confidence: 99%