Inégalité de longueur des membres inférieurs : Questions médicales fréquentes
Nom anglais: Leg Length Inequality
Descriptor UI:D007870
Tree Number:C23.300.808
Termes MeSH sélectionnés :
Appendectomy
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"headline": "Diagnostic sur Inégalité de longueur des membres inférieurs",
"description": "Comment diagnostiquer l'inégalité de longueur des membres ?\nQuels tests sont utilisés pour évaluer cette condition ?\nLes échographies peuvent-elles aider au diagnostic ?\nQuels signes cliniques indiquent une inégalité de longueur ?\nPeut-on utiliser des scanners pour le diagnostic ?",
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"description": "Quels sont les symptômes courants de cette condition ?\nL'inégalité de longueur peut-elle causer des douleurs ?\nComment l'inégalité affecte-t-elle la posture ?\nY a-t-il des symptômes psychologiques associés ?\nLes enfants peuvent-ils présenter des symptômes ?",
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"headline": "Prévention sur Inégalité de longueur des membres inférieurs",
"description": "Peut-on prévenir l'inégalité de longueur des membres ?\nComment la posture influence-t-elle la prévention ?\nLes activités sportives peuvent-elles aider ?\nLes examens réguliers sont-ils importants ?\nL'éducation sur la posture est-elle utile ?",
"url": "https://questionsmedicales.fr/mesh/D007870?mesh_terms=Appendectomy&page=2#section-prévention"
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"description": "Quels traitements sont disponibles pour cette condition ?\nLes orthèses sont-elles efficaces ?\nQuand la chirurgie est-elle recommandée ?\nQuels exercices peuvent aider ?\nLes traitements sont-ils différents pour les enfants ?",
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"headline": "Complications sur Inégalité de longueur des membres inférieurs",
"description": "Quelles complications peuvent survenir ?\nL'inégalité peut-elle affecter la colonne vertébrale ?\nY a-t-il un risque de blessures accrues ?\nLes complications psychologiques sont-elles possibles ?\nComment les complications affectent-elles la qualité de vie ?",
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"headline": "Facteurs de risque sur Inégalité de longueur des membres inférieurs",
"description": "Quels sont les facteurs de risque de cette condition ?\nLes blessures sportives peuvent-elles causer cette inégalité ?\nLes maladies comme l'ostéoporose sont-elles un facteur ?\nL'âge influence-t-il le risque d'inégalité ?\nLes antécédents familiaux jouent-ils un rôle ?",
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"@type": "Question",
"name": "Comment diagnostiquer l'inégalité de longueur des membres ?",
"position": 1,
"acceptedAnswer": {
"@type": "Answer",
"text": "Le diagnostic se fait par des mesures radiographiques ou cliniques des membres."
}
},
{
"@type": "Question",
"name": "Quels tests sont utilisés pour évaluer cette condition ?",
"position": 2,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des tests comme la mesure de la hauteur des hanches et des genoux sont utilisés."
}
},
{
"@type": "Question",
"name": "Les échographies peuvent-elles aider au diagnostic ?",
"position": 3,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les échographies peuvent évaluer la longueur des os et détecter des anomalies."
}
},
{
"@type": "Question",
"name": "Quels signes cliniques indiquent une inégalité de longueur ?",
"position": 4,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des signes incluent une démarche asymétrique et des douleurs lombaires."
}
},
{
"@type": "Question",
"name": "Peut-on utiliser des scanners pour le diagnostic ?",
"position": 5,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les scanners peuvent fournir des images précises des membres inférieurs."
}
},
{
"@type": "Question",
"name": "Quels sont les symptômes courants de cette condition ?",
"position": 6,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les symptômes incluent des douleurs articulaires, une démarche instable et des déséquilibres."
}
},
{
"@type": "Question",
"name": "L'inégalité de longueur peut-elle causer des douleurs ?",
"position": 7,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut entraîner des douleurs dans le bas du dos et les hanches."
}
},
{
"@type": "Question",
"name": "Comment l'inégalité affecte-t-elle la posture ?",
"position": 8,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elle peut provoquer une inclinaison du bassin et une mauvaise posture."
}
},
{
"@type": "Question",
"name": "Y a-t-il des symptômes psychologiques associés ?",
"position": 9,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des problèmes d'estime de soi et d'anxiété peuvent survenir."
}
},
{
"@type": "Question",
"name": "Les enfants peuvent-ils présenter des symptômes ?",
"position": 10,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les enfants peuvent montrer des signes de fatigue ou de douleur lors de la marche."
}
},
{
"@type": "Question",
"name": "Peut-on prévenir l'inégalité de longueur des membres ?",
"position": 11,
"acceptedAnswer": {
"@type": "Answer",
"text": "Certaines causes congénitales ne peuvent pas être prévenues, mais une bonne posture aide."
}
},
{
"@type": "Question",
"name": "Comment la posture influence-t-elle la prévention ?",
"position": 12,
"acceptedAnswer": {
"@type": "Answer",
"text": "Une bonne posture peut réduire le risque de douleurs et de déséquilibres."
}
},
{
"@type": "Question",
"name": "Les activités sportives peuvent-elles aider ?",
"position": 13,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des activités équilibrées renforcent les muscles et améliorent la coordination."
}
},
{
"@type": "Question",
"name": "Les examens réguliers sont-ils importants ?",
"position": 14,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des examens réguliers peuvent détecter des problèmes précoces."
}
},
{
"@type": "Question",
"name": "L'éducation sur la posture est-elle utile ?",
"position": 15,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, sensibiliser à la posture correcte peut prévenir des complications futures."
}
},
{
"@type": "Question",
"name": "Quels traitements sont disponibles pour cette condition ?",
"position": 16,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les traitements incluent des orthèses, des exercices et, dans certains cas, la chirurgie."
}
},
{
"@type": "Question",
"name": "Les orthèses sont-elles efficaces ?",
"position": 17,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elles aident à corriger la démarche et à réduire la douleur."
}
},
{
"@type": "Question",
"name": "Quand la chirurgie est-elle recommandée ?",
"position": 18,
"acceptedAnswer": {
"@type": "Answer",
"text": "La chirurgie est envisagée si l'inégalité est significative et cause des douleurs."
}
},
{
"@type": "Question",
"name": "Quels exercices peuvent aider ?",
"position": 19,
"acceptedAnswer": {
"@type": "Answer",
"text": "Des exercices de renforcement et d'étirement peuvent améliorer la fonction musculaire."
}
},
{
"@type": "Question",
"name": "Les traitements sont-ils différents pour les enfants ?",
"position": 20,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les traitements pour enfants se concentrent souvent sur la croissance et le développement."
}
},
{
"@type": "Question",
"name": "Quelles complications peuvent survenir ?",
"position": 21,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les complications incluent des douleurs chroniques, des problèmes de mobilité et des déformations."
}
},
{
"@type": "Question",
"name": "L'inégalité peut-elle affecter la colonne vertébrale ?",
"position": 22,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, elle peut entraîner des scolioses ou d'autres déformations vertébrales."
}
},
{
"@type": "Question",
"name": "Y a-t-il un risque de blessures accrues ?",
"position": 23,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, les personnes peuvent être plus sujettes aux blessures en raison de déséquilibres."
}
},
{
"@type": "Question",
"name": "Les complications psychologiques sont-elles possibles ?",
"position": 24,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des problèmes d'image corporelle et d'anxiété peuvent survenir."
}
},
{
"@type": "Question",
"name": "Comment les complications affectent-elles la qualité de vie ?",
"position": 25,
"acceptedAnswer": {
"@type": "Answer",
"text": "Elles peuvent réduire la qualité de vie en limitant les activités quotidiennes."
}
},
{
"@type": "Question",
"name": "Quels sont les facteurs de risque de cette condition ?",
"position": 26,
"acceptedAnswer": {
"@type": "Answer",
"text": "Les facteurs incluent des malformations congénitales, des blessures et des maladies osseuses."
}
},
{
"@type": "Question",
"name": "Les blessures sportives peuvent-elles causer cette inégalité ?",
"position": 27,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des blessures graves peuvent entraîner des différences de longueur des membres."
}
},
{
"@type": "Question",
"name": "Les maladies comme l'ostéoporose sont-elles un facteur ?",
"position": 28,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, l'ostéoporose peut affecter la croissance et la structure osseuse."
}
},
{
"@type": "Question",
"name": "L'âge influence-t-il le risque d'inégalité ?",
"position": 29,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, le risque augmente avec l'âge en raison de l'usure des articulations."
}
},
{
"@type": "Question",
"name": "Les antécédents familiaux jouent-ils un rôle ?",
"position": 30,
"acceptedAnswer": {
"@type": "Answer",
"text": "Oui, des antécédents familiaux d'inégalités peuvent augmenter le risque."
}
}
]
}
]
}
Acute appendicitis is one of the most common emergency general surgical conditions worldwide. Uncomplicated/simple appendicitis can be treated with appendectomy or antibiotics. Some studies have sugge...
To assess the effects of antibiotic treatment for uncomplicated/simple acute appendicitis compared with appendectomy for resolution of symptoms and complications....
We searched CENTRAL, MEDLINE, Embase, and two trial registers (World Health Organization International Clinical Trials Registry Platform and ClinicalTrials.gov) on 19 July 2022. We also searched for u...
We included parallel-group randomised controlled trials (RCTs) only. We included studies where most participants were adults with uncomplicated/simple appendicitis. Interventions included antibiotics ...
We used standard methodology expected by Cochrane. We used GRADE to assess the certainty of evidence for each outcome. Primary outcomes included mortality and success of treatment, and secondary outco...
We included 13 studies in the review covering 1675 participants randomised to antibiotics and 1683 participants randomised to appendectomy. One study was unpublished. All were conducted in secondary c...
Antibiotics may be associated with higher rates of unsuccessful treatment for 76 per 1000 people, although differences may not be clinically significant. It is uncertain if antibiotics increase length...
Laparoscopic appendectomy (LA), used since 1980, is a common surgical technique for acute appendicitis (AA) treatment. Laparoscopic surgical techniques can achieve higher patient satisfaction than con...
The study was designed as a double-blind randomized controlled trial. Patients who underwent LA for AA between May 2019 and December 2019 were included in the study and randomized into 2 groups, where...
In the SLA technique, VAS values at postoperative 1, 2, and 4 hours were significantly higher than in the SDLA ( P =0.009; P <0.05). No significant difference was observed between the surgical techniq...
In our study, SDLA caused less pain in AA cases during postoperative period than SLA. Further, the SDLA method achieved higher patient satisfaction during the postoperative period than the SLA method....
There are various methods for appendiceal stump dissection, but the necessity for stump invagination remains unclear. This study aimed to assess the efficacy of appendiceal stump invagination in patie...
We enrolled 327 patients with acute appendicitis who underwent LA between 2012 and 2020. Perioperative variables and surgical outcomes were analyzed between the invagination of the appendiceal stump a...
More patients experienced severe inflammation and severe intra-abdominal contamination in the noninvagination group than in the invagination group. Patients in the noninvagination group had an older a...
Invagination of the appendiceal stump during LA is not necessary to prevent short- and long-term complications. Even in cases dissected using a laparoscopic endostapler, the appendiceal stump per se i...
The article seeks to supply evidence-based data on the usefulness of routine histopathological evaluation of appendectomy specimens taken for non-oncological purposes. Reasons to perform histology are...
Single-incision laparoscopic appendectomy (SILA) is usually performed using single-port instruments, which may restrict its development and application. This study explored the performance of transumb...
This retrospective study included 174 patients who underwent CLA, TSILA, or SSILA for acute appendicitis at our hospital between June 2019 and July 2021. Demographic data and clinical outcomes were co...
Compared with CLA, TSILA was associated with significant reductions in postoperative pain, length of hospital stay, and hospital cost, while SSILA was associated with significant reductions in length ...
SILA performed with only conventional laparoscopic instruments was associated with reduced hospital stay and cost and higher cosmetic satisfaction in comparison to CLA. However, it is technically dema...
There is controversy about the necessity of nighttime appendectomy. The aim of this study was to determine whether timing of appendectomy performance plays a role on postoperative complications....
A retrospective single-center comparative study was performed in children who underwent surgery for acute appendicitis between 2017 and 2021. Patients were divided into groups based on the time slot i...
A total of 1643 patients were included: 337 were operated in the morning, 751 in the afternoon and 555 at night. We found no demographic differences. When comparing the intraoperative data, no differe...
These results show that in our institution time slot in which the appendectomy is performed has no consequences in postoperative outcomes and complications....
Acute appendicitis is the most common cause of acute lower abdominal pain leading patients to the emergency department. This study aims to find the negative appendectomy rate in patients diagnosed wit...
This study was a retrospective cohort study in the patients preoperatively diagnosed with acute appendicitis and underwent appendectomy from January 2015 to December 2019. Negative appendectomy is def...
The study population was 892 patients which was 54.3% female. The five-year negative appendectomy rate was 8.6% (n = 77) and 70% in female (n = 54). The factors associated with increasing the negative...
The negative appendectomy rate was less than 10% in this study. Female, age 40 ≤ years old and history of diarrhea were related to increase in negative appendectomy. The factors that related to declin...
Evidence regarding the effects of plastic bag use for appendix removal during minimally invasive appendectomy remains scarce and conflicting....
This study aimed to analyze the effects of plastic bag use during minimally invasive appendectomy on preoperative infection risk, morbidity and mortality....
This retrospective analysis of the prospective National Surgical Quality Improvement Program (NSQIP) cohort program....
This study included data from the NSQIP database between the years of 2016 and 2019....
Adult patients undergoing minimally invasive (laparoscopic or robotic) without unplanned conversion to open surgery....
Use of plastic bag for specimen removal during appendectomy....
Risk ratios for the incidence of superficial surgical site infection, intra-abdominal abscess, overall medical morbidity, and overall mortality....
There were 43 783 cases of minimally invasive appendectomy in the NSQIP database between the years of 2016 and 2019. Among those who reported information regarding use of plastic bag, 28 589 (91.87%) ...
Observational nature of the study cannot exclude residual bias. Also, there was a significant rate of missing values for plastic bag use, which may bias results....
In this global prospective cohort using NSQIP database, use of plastic bag for appendix removal during minimally invasive appendectomy was associated with a significant improvement in surgical related...
An inferior epigastric artery pseudoaneurysm is an exceptionally rare occurrence. Formation of an inferior epigastric artery pseudoaneurysm can be seen following surgical intervention and is more comm...
Laparoscopic appendectomy is one of the most common emergency general surgery procedures in the United States. Little is known about its postoperative outcomes for older adults because appendicitis ty...
We conducted a retrospective cohort study of individuals whose laparoscopic appendectomies were recorded in the Veterans Affairs (VA) Surgical Quality Improvement Program (from 2000-2018; n = 14,619) ...
The median age (interquartile range) of the nonveteran cohort was 36 years (26-51; 8.4% of patients were 65 or older) versus 51 years among veterans (35-63; 21% were 65 or older). For veterans and non...
For both veterans and nonveterans, older age was associated with a significantly increased risk of postoperative complications. Notably, morbidity within the VA was lower for older adults than in non-...