{"id":25967,"date":"2022-06-06T09:29:51","date_gmt":"2022-06-06T13:29:51","guid":{"rendered":"http:\/\/osteomag.ca\/leg-length-discrepancies\/"},"modified":"2022-09-15T01:34:17","modified_gmt":"2022-09-15T05:34:17","slug":"leg-length-discrepancies","status":"publish","type":"post","link":"https:\/\/osteomag.ca\/en\/leg-length-discrepancies\/","title":{"rendered":"Leg length discrepancies"},"content":{"rendered":"\n<p class=\"has-white-color has-vivid-cyan-blue-background-color has-text-color has-background\">More than 50% of people have a slight difference in the length of their legs. These slight variations do not usually cause problems. However, for the small percentage of people with a leg length difference greater than 2 cm, the length difference can affect their well-being and quality of life.<\/p>\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #000000;color:#000000\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #000000;color:#000000\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/osteomag.ca\/en\/leg-length-discrepancies\/#Causes\" >Causes<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/osteomag.ca\/en\/leg-length-discrepancies\/#Symptoms\" >Symptoms<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/osteomag.ca\/en\/leg-length-discrepancies\/#Role_on_gait_posture\" >Role on gait posture<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/osteomag.ca\/en\/leg-length-discrepancies\/#Adverse_musculoskeletal_factors\" >Adverse musculoskeletal factors<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/osteomag.ca\/en\/leg-length-discrepancies\/#Therapeutic_approach\" >Therapeutic approach<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Causes\"><\/span>Causes<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li>Fracture<ul><li>A fracture of the femur or tibia\/peroneal bone can cause a difference in leg length&#13;\n<ul><li>Shorter<ul><li>Fracture in several pieces<\/li>\n<li>A child&#8217;s fracture through the growth plate near the end of the bone can slow growth, resulting in a shorter leg.&#13;\n<\/li>\n<\/ul><\/li>\n<li>Longer<ul><li>A leg fracture in children will sometimes lead to the leg accelerating its normal growth.&#13;\n<\/li>\n<li>Causing it to become longer than the bone on the opposite side.<\/li>\n<\/ul><\/li>\n<\/ul><\/li>\n<\/ul><\/li><li>Bone infection<ul><li>Occur in growing children can lead to a significant limb length discrepancy.&#13;\n<\/li>\n<\/ul><\/li><li>Bone diseases (dysplasia)<ul><li>Some bone diseases can cause a difference in limb length, including&#13;\n<ul><li>Neurofibromatosis<\/li>\n<li>Multiple hereditary exostoses<\/li>\n<\/ul><\/li>\n<\/ul><\/li><li>Neurological conditions<\/li><li>Conditions that cause joint inflammation during growth, such as juvenile arthritis&#13;\n<\/li><li>Legg-Calve-Perthes disease<\/li><li>Cancer or neoplastic changes<\/li><li>Soft tissue shortening<\/li><li>Ligament laxity<\/li><li>Axial misalignments<\/li><li>Foot biomechanics (such as excessive ankle pronation)<\/li><\/ul>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Symptoms\"><\/span>Symptoms<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li>The effects of limb length discrepancy vary from patient to patient.&#13;\n<\/li><li>Patients who have differences of about 4 cm may limp or have other difficulties walking.&#13;\n<\/li><\/ul>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Role_on_gait_posture\"><\/span>Role on gait posture<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li>A compensatory effect may occur to facilitate gait<\/li><li>The patient will try to adopt a certain joint position in an attempt to facilitate standing or walking.&#13;\n<\/li><li>Here is a list of some of these joint positions:<\/li><\/ul>\n<figure class=\"wp-block-table is-style-regular\"><table><tbody><tr><td>\u00a0<\/td><td><strong>Long leg<\/strong><\/td><td><strong>Short leg<\/strong><\/td><\/tr><tr><td><strong>Foot<\/strong><\/td><td>Pronation<\/td><td>Supination<\/td><\/tr><tr><td><strong>Ankle <\/strong><\/td><td>Dorsal Flexion<\/td><td>Plantar Flexion<\/td><\/tr><tr><td><strong>Hip<\/strong><\/td><td>Flexion, Internal Rotation <\/td><td>Extension, External Rotation<\/td><\/tr><tr><td><strong>Pelvis<\/strong><\/td><td>Posterior rotation<\/td><td>Anterior rotation<\/td><\/tr><\/tbody><\/table><\/figure>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Adverse_musculoskeletal_factors\"><\/span>Adverse musculoskeletal factors<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li>Low back pain<ul><li>The scientific literature suggests that a shorter leg will affect the lumbar curve by creating a lumbar scoliosis.&#13;\n<\/li><li>Leads to a:<ul><li>Pelvic obliquity in the frontal plane (1).<\/li><li>Lumbosacral facet joint angles appear smaller on the short side&#13;\n<\/li><\/ul><\/li><\/ul><\/li><li>Hip pain<ul><li>A longer leg can be a predisposing factor for hip osteoarthritis.&#13;\n<ul><li>As length increases, the contact area\/weight of the femoral head decreases.&#13;\n<\/li><li>Combined with increased hip abductor tone caused by an extended distance between origin and insertion and increased GRF puts the longer leg at risk.&#13;\n<\/li><\/ul><\/li><\/ul><\/li><li>Stress Fractures<ul><li>A greater incidence of stress fractures in the tibia, metatarsals, and femur of the longer leg seems consistent with the greater forces emitted through the longer leg described under hip pain. &#13;\n<\/li><\/ul><\/li><\/ul>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Therapeutic_approach\"><\/span>Therapeutic approach<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n<ul class=\"wp-block-list\"><li>Muscle stretch<\/li><li>Lumbar, lumbosacral and pelvic mobilization<\/li><li>Aquafit<\/li><li>Plantar support<\/li><li>Heel lift<\/li><\/ul>","protected":false},"excerpt":{"rendered":"<p>More than 50% of people have a slight difference in the length of their legs. These slight variations do not usually cause problems. However, for the small percentage of people with a leg length difference greater than 2 cm, the length difference can affect their well-being and quality of life.<\/p>\n","protected":false},"author":1,"featured_media":25971,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","iawp_total_views":0,"footnotes":""},"categories":[230],"tags":[],"class_list":{"0":"post-25967","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-leg"},"_links":{"self":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/posts\/25967","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/comments?post=25967"}],"version-history":[{"count":0,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/posts\/25967\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/media\/25971"}],"wp:attachment":[{"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/media?parent=25967"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/categories?post=25967"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/osteomag.ca\/en\/wp-json\/wp\/v2\/tags?post=25967"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}