Titre : Inégalité de longueur des membres inférieurs

Inégalité de longueur des membres inférieurs : Questions médicales fréquentes

{ "@context": "https://schema.org", "@graph": [ { "@type": "MedicalWebPage", "name": "Inégalité de longueur des membres inférieurs : Questions médicales les plus fréquentes", "headline": "Inégalité de longueur des membres inférieurs : Comprendre les symptômes, diagnostics et traitements", "description": "Guide complet et accessible sur les Inégalité de longueur des membres inférieurs : explications, diagnostics, traitements et prévention. Information médicale validée destinée aux patients.", "datePublished": "2024-06-18", "dateModified": "2025-03-15", "inLanguage": "fr", "medicalAudience": [ { "@type": "MedicalAudience", "name": "Grand public", "audienceType": "Patient", "healthCondition": { "@type": "MedicalCondition", "name": "Inégalité de longueur des membres inférieurs" }, "suggestedMinAge": 18, "suggestedGender": "unisex" }, { "@type": "MedicalAudience", "name": "Médecins", "audienceType": "Physician", "geographicArea": { "@type": "AdministrativeArea", "name": "France" } }, { "@type": "MedicalAudience", "name": "Chercheurs", "audienceType": "Researcher", "geographicArea": { "@type": "AdministrativeArea", "name": "International" } } ], "reviewedBy": { "@type": "Person", "name": "Dr Olivier Menir", "jobTitle": "Expert en Médecine", "description": "Expert en Médecine, Optimisation des Parcours de Soins et Révision Médicale", "url": "/static/pages/docteur-olivier-menir.html", "alumniOf": { "@type": "EducationalOrganization", "name": "Université Paris Descartes" } }, "isPartOf": { "@type": "MedicalWebPage", "name": "États anatomopathologiques", "url": "https://questionsmedicales.fr/mesh/D020763", "about": { "@type": "MedicalCondition", "name": "États anatomopathologiques", "code": { "@type": "MedicalCode", "code": "D020763", "codingSystem": "MeSH" }, "identifier": { "@type": "PropertyValue", "propertyID": "MeSH Tree", "value": "C23.300" } } }, "about": { "@type": "MedicalCondition", "name": "Inégalité de longueur des membres inférieurs", "alternateName": "Leg Length Inequality", "code": { "@type": "MedicalCode", "code": "D007870", "codingSystem": "MeSH" } }, "author": [ { "@type": "Person", "name": "Marcel Betsch", "url": "https://questionsmedicales.fr/author/Marcel%20Betsch", "affiliation": { "@type": "Organization", "name": "University of Toronto Orthopaedic Sports Medicine Program (UTOSM), Women's College Hospital, Toronto, Ontario, Canada." } }, { "@type": "Person", "name": "Hannah Lena Siebers", "url": "https://questionsmedicales.fr/author/Hannah%20Lena%20Siebers", "affiliation": { "@type": "Organization", "name": "Department of Orthopaedic Surgery, University Hospital RWTH Aachen, Pauwelsstr 30, 52074, Aachen, Germany. hsiebers@ukaachen.de." } }, { "@type": "Person", "name": "Roman Michalik", "url": "https://questionsmedicales.fr/author/Roman%20Michalik", "affiliation": { "@type": "Organization", "name": "University Hospital RWTH Aachen, Department of Orthopaedics, Aachen, Germany." } }, { "@type": "Person", "name": "Jörg Eschweiler", "url": "https://questionsmedicales.fr/author/J%C3%B6rg%20Eschweiler", "affiliation": { "@type": "Organization", "name": "Department of Orthopaedic Surgery, University Hospital RWTH Aachen, Pauwelsstr 30, 52074, Aachen, Germany." } }, { "@type": "Person", "name": "Markus Tingart", "url": "https://questionsmedicales.fr/author/Markus%20Tingart", "affiliation": { "@type": "Organization", "name": "Department of Orthopaedic Surgery, University Hospital RWTH Aachen, Pauwelsstr 30, 52074, Aachen, Germany." } } ], "citation": [ { "@type": "ScholarlyArticle", "name": "Preoperative Leg Length Discrepancy >2 cm in the Supine Decubitus Position May Induce Compensatory Pelvic Obliquity in Patients during Total Hip Arthroplasty.", "datePublished": "2023-03-29", "url": "https://questionsmedicales.fr/article/36988083", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1111/os.13708" } }, { "@type": "ScholarlyArticle", "name": "Effect of limited range of motion of the hip joint and leg-length discrepancy on gait trajectory: an experiment to reproduce the asymmetric gait that occurs in patients with osteoarthritis of the hip joint.", "datePublished": "2022-06-28", "url": "https://questionsmedicales.fr/article/35765166", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1177/11207000221102849" } }, { "@type": "ScholarlyArticle", "name": "The reliability of clinical tools with and without ultrasound guidance to measure leg-length inequality.", "datePublished": "2023-09-28", "url": "https://questionsmedicales.fr/article/38694829", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1177/1742271X231195741" } }, { "@type": "ScholarlyArticle", "name": "Does robot-assisted surgery reduce leg length discrepancy in total hip replacement? Robot-assisted posterior approach versus direct anterior approach and manual posterior approach: a propensity score-matching study.", "datePublished": "2023-06-22", "url": "https://questionsmedicales.fr/article/37344859", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.1186/s13018-023-03864-9" } }, { "@type": "ScholarlyArticle", "name": "Limb Length Discrepancy After Intraosseous Line Malpositioning: A Case Report.", "datePublished": "2024-03-14", "url": "https://questionsmedicales.fr/article/38484087", "identifier": { "@type": "PropertyValue", "propertyID": "DOI", "value": "10.2106/JBJS.CC.23.00619" } } ], "breadcrumb": { "@type": "BreadcrumbList", "itemListElement": [ { "@type": "ListItem", "position": 1, "name": "questionsmedicales.fr", "item": "https://questionsmedicales.fr" }, { "@type": "ListItem", "position": 2, "name": "États, signes et symptômes pathologiques", "item": "https://questionsmedicales.fr/mesh/D013568" }, { "@type": "ListItem", "position": 3, "name": "États anatomopathologiques", "item": "https://questionsmedicales.fr/mesh/D020763" }, { "@type": "ListItem", "position": 4, "name": "Inégalité de longueur des membres inférieurs", "item": "https://questionsmedicales.fr/mesh/D007870" } ] } }, { "@type": "MedicalWebPage", "name": "Article complet : Inégalité de longueur des membres inférieurs - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Inégalité de longueur des membres inférieurs", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2025-05-14", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "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 ?", "url": "https://questionsmedicales.fr/mesh/D007870?page=3#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Inégalité de longueur des membres inférieurs", "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 ?", "url": "https://questionsmedicales.fr/mesh/D007870?page=3#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "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?page=3#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Inégalité de longueur des membres inférieurs", "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 ?", "url": "https://questionsmedicales.fr/mesh/D007870?page=3#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "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?page=3#section-complications" }, { "@type": "MedicalWebPage", "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 ?", "url": "https://questionsmedicales.fr/mesh/D007870?page=3#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@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." } } ] } ] }

Sources (10000 au total)

Preoperative Leg Length Discrepancy >2 cm in the Supine Decubitus Position May Induce Compensatory Pelvic Obliquity in Patients during Total Hip Arthroplasty.

The leg length discrepancy (LLD) in the supine decubitus position may influence the inclination angle of the acetabular component during total hip arthroplasty (THA). The relationship among LLD, pelvi... A total of 135 patients were prospectively classified into three groups according to the preoperative LLD in the supine decubitus position: the cranial type group had a positive LLD value; the fixed t... The results showed a significant difference in the targeted and final inclination angles among the patients in the cranial type and the caudal type groups. In the caudal type group, increased inclinat... Our findings revealed that in patients with discrepancy greater than 2 cm, postural pelvic obliquity imposed a remarkable influence on the inclination....

Effect of limited range of motion of the hip joint and leg-length discrepancy on gait trajectory: an experiment to reproduce the asymmetric gait that occurs in patients with osteoarthritis of the hip joint.

Although some symptoms that often occur with hip joint osteoarthritis (OA) may be involved in the appearance of gait disturbance, the main cause has not been identified. We hypothesised that the abnor... We recruited 2 groups of participants: patients with hip joint OA (OA group, 38 patients) and healthy individuals who imitated patients with OA of the hip joint by wearing a hip orthosis or shoe ortho... In the OA group, the patterns of gait trajectories that were drawn on the 3 planes (coronal, sagittal, and horizontal planes) could be roughly divided into 3 types. The gait trajectories that were dra... We were able to reproduce the abnormal gait trajectory that is observed in ⅓ of patients with hip OA in healthy individuals, so we propose that an extreme reduction in hip joint ROM is 1 of the causes...

The reliability of clinical tools with and without ultrasound guidance to measure leg-length inequality.

To determine and compare the reliability and efficiency of various methods of leg-length measurement.... A total of 88 leg-lengths were measured among 50 subjects (79%-84% female, mean age = 30-33 years). Leg-lengths were measured in both supine and standing positions using multiple devices, including a ... All methods of leg-length measurement using the middle of the femoral head as a reference point, identified via ultrasound, demonstrated excellent reliability (intraclass correlation coefficient = 0.9... Ultrasound-guided landmark identification appear to be a more reliable method compared to palpation of the anterior superior iliac spine for measurement of leg-length using clinical tools. When couple...

Does robot-assisted surgery reduce leg length discrepancy in total hip replacement? Robot-assisted posterior approach versus direct anterior approach and manual posterior approach: a propensity score-matching study.

Advocates of robot-assisted technique argue that robots could improve leg length restoration in total hip replacement. However, there were few studies to compare the robot-assisted posterior approach ... We retrospectively reviewed the cohort of consecutive ONFH patients who underwent THA robot-assisted posterior, manual posterior, and manual DAA from January 2018 to December 2020 in one institution. ... We analyzed 267 ONFH patients treated with RPA, DAA, or PA (73 RPA patients, 99 DAA patients, and 95 PA patients). After propensity score matching, we generated cohorts of 40 patients in DAA and RPA g... This study found no significant difference in postoperative LLD between RPA and DAA, but we found a significant difference between RPA and manual PA, DAA and manual PA in ONFH patients. We found a sig...

Limb Length Discrepancy After Intraosseous Line Malpositioning: A Case Report.

We will present the case of a 6-year-old girl who presented with a 3-cm limb length discrepancy after intraosseous line placement at age 14 months without other known history of trauma or infection to... Pediatric intraosseous line placement presents unique challenges and can ultimately lead to physeal injury and growth arrest in the case of malpositioning....

Simultaneous femoral and tibial lengthening for severe limb length discrepancy in fibular hemimelia.

Fibular Hemimelia (FH) is the most common longitudinal limb deficiency. Significant limb length discrepancy (LLD) will necessitate long treatment times and multiple settings to compensate for LLD when... This retrospective study included the cases of 12 children with severe limb length discrepancy caused by combined FH and ipsilateral femoral shortening from May 2015 to August 2022. The total LLD rang... The planned limb lengthening was achieved in ten cases (83%). No cases of joint subluxation or dislocation were encountered. No neurovascular injury has occurred during the treatment course. In all ca... Simultaneous femoral and tibial lengthening using the Ilizarov fixator is a relatively safe procedure with the result of correction of total LLD in one session in a shorter time and less morbidity....

Forgotten joint score is worse when the affected leg perceived longer than shorter after total hip arthroplasty.

One of the causes of patient dissatisfaction after total hip arthroplasty (THA) is leg length discrepancy (LLD). Even when radiographic LLD (R-LLD) is within 5 mm, some people perceive the affected si... A retrospective study of 164 patients with unilateral hip disease was conducted. Based on P-LLD after THA, they were classified into three categories: perceived short (PS 21 patients), no LLD (PN 121 ... After THA, the PL group had significantly worse FJS-12 (PS: 68.3 ± 26.2, PN: 75.0 ± 20.9, PL: 47.3 ± 25.2, P < .0001). In the R-LLD evaluation, there was no difference in FJS-12 among the three groups... One year after THA, patients with longer P-LLD had worse FJS-12, even if the R-LLD was less than 5 mm....

Normative Femoral and Tibial Lengths in a Modern Population of Twenty-First-Century U.S. Children.

The Green-Anderson (GA) leg-length data remain the gold standard for the age-based assessment of leg lengths in children despite their methodologic weaknesses. We aimed to summarize current growth tre... A retrospective review of scanograms and upright slot-scanning radiographs obtained in otherwise healthy children between 2008 and 2020 was completed. A search of a radiology registry revealed 3,508 u... Seven hundred patients (328 female and 372 male) met the inclusion criteria. On average, the reported 50th percentile tibial lengths from the GA study at each time point were shorter than the lengths ... This study developed new growth charts for femoral and tibial lengths in a modern U.S. population of children. The new femoral and tibial lengths at nearly all time points are 1 to 3 cm longer than tr... Prognostic Level IV . See Instructions for Authors for a complete description of levels of evidence....

Does the use of intraoperative measurement reduce limb length discrepancies after total hip arthroplasty?

Postoperative limb length discrepancy (LLD) is a common complication of total hip arthroplasty, and several methods exist to prevent LLD, but each has its benefits and drawbacks. The study investigate... This study retrospectively analyzed 70 patients who underwent total hip arthroplasty from October 2018 to July 2022. The length of the lower limb on the operated side was measured intraoperatively usi... The absolute value of postoperative LLD was found to be 6.68 ± 4.48 mm, of which 53 cases (75.7%) were less than or equal to 10 mm, while 30 patients (42.9%) were less than or equal to 5 mm.... The use of intraoperative measurement is effective in reducing LLD after total hip arthroplasty....

Evolution of the angular deformity and limb length discrepancy of congenital posteromedial bowing of the tibia over time.

This study aims to assess the natural history of congenital posteromedial bowing of the tibia (CPMBT) deformity during growth and to evaluate the outcomes of lengthening by an Ilizarov frame in CPMBT ... Between January 2000 and December 2019, a total of 22 patients (12 males, 10 females; mean age: 10.5±4.4 years; range, 6 to 19 years) with the diagnosis of CPMBT and followed closely from birth until ... The age of the patients ranged from six days to 10 months at the time of presentation, while the mean age at the final follow-up was 10.5±4.4 years. Posterior medial bowing was satisfactorily remodele... According to the results of the current study, CPMBT was satisfactorily remodeled in more than half of the patients, and the majority of patients did not undergo surgery for angular deformity and LLD ...