Limb Length Discrepancies - Clinical Podiatric Biomechanics & Surgery
32 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which group had an average age of thirteen years?

  • Twenty-two boys and thirteen girls (correct)
  • Fifteen boys
  • Thirty boys and girls combined
  • Ten boys and ten girls
  • What deformities were NOT found in the lower extremities of the patients?

  • Substantial deformities
  • Angular deformities
  • Small deformities
  • Rotational deformities (correct)
  • Which discrepancy percentage was associated with more mechanical work by the long extremity?

  • 2%
  • 4%
  • 3%
  • 8% (correct)
  • What compensatory strategy was associated with a 5.5% or higher discrepancy?

    <p>Toe-walking</p> Signup and view all the answers

    For discrepancies less than 3% in the long extremity, what was NOT associated?

    <p>Pelvic obliquity</p> Signup and view all the answers

    What was found to have no correlation with the length discrepancies?

    <p>Pelvic obliquity</p> Signup and view all the answers

    What is considered a significant limb length discrepancy?

    <p>3mm - 22mm</p> Signup and view all the answers

    What is one of the primary symptoms associated with limb length discrepancy?

    <p>Sacroiliac joint pain on the long limb</p> Signup and view all the answers

    What is the most common compensation for a functional limb length discrepancy with excessive STJ pronation?

    <p>Pronation of the foot to shorten the limb</p> Signup and view all the answers

    In clinical examination, what is the variation to the direct measurement from ASIS to medial malleolus when joint contracture and bone torsion need to be accounted for?

    <p>ASIS to lateral malleolus</p> Signup and view all the answers

    Why is it important to add a third reference point for accuracy in clinical examination when checking for limb length discrepancy?

    <p>To account for pelvic height difference</p> Signup and view all the answers

    What is the most common compensation for pelvic rotation with limb length discrepancy?

    <p>Functional scoliosis</p> Signup and view all the answers

    In the context of limb length discrepancy treatment, what warrants the need for corrective intervention?

    <p>A significant limb length discrepancy</p> Signup and view all the answers

    What type of lift is typically used when the limb length discrepancy is 1 cm or more?

    <p>Full length lift</p> Signup and view all the answers

    What is used to evaluate the gait of children with limb-length discrepancy in the provided text?

    <p>Radiographic evaluation</p> Signup and view all the answers

    If a limb-length discrepancy is functional due to increased pronation, what is the recommended corrective approach?

    <p>Orthosis for correcting pronation</p> Signup and view all the answers

    What percentage of discrepancy was associated with more mechanical work being performed by the long extremity?

    <p>5.5%</p> Signup and view all the answers

    What strategy was NOT associated with discrepancies of less than 3% of the length of the long extremity?

    <p>Pelvic rotation</p> Signup and view all the answers

    What was the average range in age of the boys and girls mentioned in the text?

    <p>8 to 17 years</p> Signup and view all the answers

    Which of the following deformities was NOT found in the lower extremities of the patients?

    <p>Medial deformity</p> Signup and view all the answers

    What discrepancy percentage was NOT correlated with any dependent kinematic or kinetic variables, including pelvic obliquity?

    <p>3%</p> Signup and view all the answers

    Which compensatory strategy was manifested when a discrepancy of 5.5% or more was observed clinically?

    <p>Toe-walking</p> Signup and view all the answers

    What is the main difference between structural limb length discrepancy (LLD) and functional LLD?

    <p>Structural LLD results from polio or physeal damage, while functional LLD is associated with joint contracture.</p> Signup and view all the answers

    In the context of limb length discrepancy, what is the purpose of adding a third reference point for accuracy in clinical examination?

    <p>To accurately measure joint contracture and bone torsion.</p> Signup and view all the answers

    What symptom is specifically associated with sacroiliac joint pain due to pelvic tilt in limb length discrepancy?

    <p>Foot pathology with excessive pronation.</p> Signup and view all the answers

    Why does a fixed scoliosis not reduce with non-weight bearing (NWB) when present with limb length discrepancy?

    <p>As it is the primary pathology with limb length discrepancy compensating for it.</p> Signup and view all the answers

    What is the most appropriate course of treatment for limb length discrepancy if induced by excessive supination?

    <p>Use orthotics to correct pronation only.</p> Signup and view all the answers

    What is the key factor that determines whether scoliosis is a primary pathology when present with limb length discrepancy?

    <p>Whether the scoliosis is functional or fixed.</p> Signup and view all the answers

    What is the significance of posterior pelvic rotation in the compensation of limb length discrepancy?

    <p>Posterior pelvic rotation occurs with pronation on the long limb.</p> Signup and view all the answers

    When should a full-length lift be used in treating limb length discrepancy?

    <p>If the discrepancy is 1 cm or more.</p> Signup and view all the answers

    What is the purpose of using orthotics with a lift when treating a combined etiology of limb length discrepancy?

    <p>To address both functional and structural causes simultaneously.</p> Signup and view all the answers

    What is the purpose of an EBM evaluation of gait in children with limb-length discrepancy mentioned in the provided text?

    <p>To evaluate the body's attempt to correct limb-length discrepancies.</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Browser