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 :
Leg Length Inequality
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"name": "Diagnostic",
"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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},
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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 ?",
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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 ?",
"url": "https://questionsmedicales.fr/mesh/D007870?mesh_terms=Leg+Length+Inequality&page=2#section-complications"
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"name": "Facteurs de risque",
"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."
}
}
]
}
]
}
While previous studies on navigated total hip replacement (nTHA) focused on acetabular component positioning, we compared the results of nTHA with conventional total hip replacement (cTHA) in respect ...
Patients with ankylosing spondylitis often have fusions in the spine and sacroiliac joints, such that it is difficult to compensate for leg length discrepancy (LLD)....
We retrospectively measured the LLD after total hip arthroplasty (THA) in 89 patients with ankylosing spondylitis from June 2004 to February 2021 at our institute. Patients were divided into two group...
The group with an LLD of 5-10 mm rather than < 5 mm had significantly worse WOMAC pain and stiffness. The survey revealed statistically significant differences in patient satisfaction with the operati...
For patients with ankylosing spondylitis, reducing the LLD to < 5 mm, which is more accurate than the current standard of < 10 mm, may produce greater improvement in clinical outcomes after hip arthro...
Leg-length discrepancy (LLD) is a critical factor in component selection and placement for total hip arthroplasty. However, LLD radiographic measurements are subject to variation based on the femoral/...
Patients who had baseline anteroposterior pelvis radiographs from the Osteoarthritis Initiative were included. A DL algorithm was created to identify LLD-relevant landmarks (ie, teardrop (TD), obturat...
The DL algorithm measurements were first validated in an independent cohort for all six LLD methods (ICC = 0.73-0.98). Images from 3,689 patients (22,134 LLD measurements) were measured in 133 minutes...
We leveraged DL to automate LLD measurements in a large patient cohort and found considerable variation in LLD based on the pelvic/femoral landmark selection. This emphasizes the need for the standard...
A 53-year-old man presented with a 13-mm leg length discrepancy following left hip resurfacing arthroplasty (HRA), resulting in pain and imbalance. Advanced osteoarthritis of the contralateral hip was...
This is the first known revision of a HRA with a subsequent HRA. Assuming sufficient bone stock and precise implant positioning, resurfacing presents a feasible methodology to overcome complex anatomi...
Leg length discrepancy (LLD) is a common problem that can cause long-term musculoskeletal problems. However, measuring LLD on radiography is time-consuming and labor intensive, despite being a simple ...
To develop and evaluate a deep-learning algorithm for measurement of LLD on radiographs....
In this Health Insurance Portability and Accountability Act (HIPAA)-compliant retrospective study, radiographs were obtained to develop a deep-learning algorithm. The algorithm developed with two U-Ne...
Of the 300 cases, the deep-learning model successfully delineated both iliac crests in 284. All human measurements, the deep-learning model and the model-assisting method, showed a significant correla...
A deep-learning U-Net model measuring the iliac crest height difference was possible on teleroentgenograms in children. LLD measurements assisted by the deep-learning algorithm saved time and labor wh...
Footwear adjustment is recommended in the management plan of leg length discrepancy. However, it is not clear how the outsole of motion control shoe adjustment influences trunk symmetry and walking pe...
Does bilateral adjustment of the outsole affect trunk and pelvis symmetry and ground reaction force during walking in individuals with leg length discrepancy?...
20 mild leg length discrepancy participants were recruited into a cross-sectional study. All subjects performed a walking trial with their habitual shoes to determine the outsole adjustment. Four tria...
During walking trials, mild leg length discrepancy participants with the adjusted shoe displayed lower variations in the maximum shoulder height differences (p = 0.001) and trunk rotation angle (p = 0...
The outsole adjustment of the bilateral motion control shoes can improve trunk symmetry while decreasing the ground impact at the heel strike. The study provides additional information to prescribe or...
THA for high-riding developmental dysplasia of the hip (DDH) is challenging in terms of length equalization. Although previous studies suggested preoperative templating on AP pelvic radiographs is ins...
(1) Is there an overall leg length difference in patients with unilateral Crowe Type IV hip dysplasia? (2) In patients with unilateral Crowe Type IV hip dysplasia with an overall leg length difference...
Between March 2018 and April 2021, we treated 61 patients with THA for Crowe Type IV DDH (high-riding dislocation). EOS imaging was performed preoperatively in all patients. Eighteen percent (11 of 61...
The overall limb length was not different between the dislocated and nondislocated sides (mean 725 ± 40 mm versus 722 ± 45 mm, mean difference 3 mm [95% CI -3 to 9 mm); p = 0.08). Apparent leg length ...
A consistent pattern of anatomic alteration on the contralateral side does not exist in Crowe Type IV hips except for the length of the tibia. All parameters of the limb length could be shorter, equal...
Level I, prognostic study....
Magnetically controlled motorized intramedullary lengthening nails (ILNs) can be employed for simultaneous correction of angular deformities of the distal femur and leg length discrepancy. This spares...
Acute angular deformity correction and subsequent gradual lengthening of the distal femur with retrograde ILN was retrospectively analyzed in 45 patients (median patient age: 15 years, interquartile r...
The median distraction was 46 mm (IQR 29-49), median distraction and consolidation index 0.9 mm/day (IQR 0.7-1.0) and 29 days/cm (IQR 24-43), respectively. The median preoperative mechanical axis devi...
Acute deformity correction and subsequent lengthening of the distal femur with retrograde ILN is a reliable and accurate treatment achieving treatment goal in 89% but unplanned additional surgeries in...
Leg length discrepancy (LLD) is a common complication of total hip arthroplasty (THA). However, the relationship between femoral prosthesis filling, proximal femoral morphology, and acetabular prosthe...
The study cohort included 161 patients who underwent primary cementless THA between January 2021 and March 2022 with either proximal coating or full coating stems. Multivariate logistic regression was...
No statistical difference was found in clinical outcomes or postoperative LLD between the two groups. High CFI (p = 0.014), low ΔVCOR (p = 0.012), and Gender (p = 0.028) were found independent risk fa...
Proximal femoral morphology and acetabular prosthesis positioning but not femoral prosthesis filling affected the LLD. High CFI was an independent risk factor for postoperative LLD and subjectively pe...
The primary aim of this systematic review and meta-analysis was to evaluate the success rate of 3 different epiphysiodesis techniques with implant usage for the treatment of leg-length discrepancy (LL...
In this systematic review we searched MEDLINE (PubMed), Embase, Cochrane Library, Web of Science and Scopus for studies on skeletally immature patients with LLD treated with epiphysiodesis with an imp...
44 studies (2,184 patients) were included. 455 underwent epiphysiodesis with PETS, 578 patients with TBP, and 1,048 with staples. Successful epiphysiodesis was reported in 76% (95% confidence interval...
Our results showed that epiphysiodesis with PETS implants was the most successful technique. PETS had a higher success rate, fewer severe complications, and a lower proportion with angular deformity....