Progressive subtalar joint dislocation and limb-length inequality. An unusual case

Resseque, Barbara; Rg, Volpe

doi:10.7547/87507315-88-4-176

Cited by 2 publications

(2 citation statements)

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“…4 Excessive pronation may also be the cause of a functional limb length inequality, effectively shortening a limb. 8 According to Resseque and Volpe, 47 severe pronation can lead to ankle joint pathology. D'Amico et al 8 used the Electrodynogram system to demonstrate increased pronation and weight-bearing force at the medial side of the foot on the longer limb side.…”

Section: Pathologies Related To Limb Length Inequalitymentioning

confidence: 99%

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Limb Length Inequality: Clinical Implications for Assessment and Intervention

Brady¹,

Dean²,

Skinner³

et al. 2003

J Orthop Sports Phys Ther

167

104

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The purpose of this paper is to review relevant literature concerning limb length inequalities in adults and to make recommendations for assessment and intervention based on the literature and our own clinical experience. Literature searches were conducted in the MEDLINE, PubMed, and CINAHL databases. Limb length inequality and common classification criteria are defined and etiological factors are presented. Common methods of detecting limb length inequality include direct (tape measure methods), indirect (pelvic leveling), and radiological techniques. Interventions include shoe inserts or external shoe lift therapy for mild cases. Surgery may be appropriate in severe cases. Little agreement exists regarding the prevalence of limb length inequality, the degree of limb length inequality that is considered clinically significant, and the reliability and validity of assessment methods. Based on correlational studies, the relationship between limb length inequality and orthopaedic pathologies is questionable. Stronger support for the link between low back pain (LBP) and limb length inequality is provided by intervention studies. Methods involving palpation of pelvic landmarks with block correction have the most support for clinical assessment of limb length inequality. Standing radiographs are suggested when clinical assessment methods are unsatisfactory. Clinicians should exercise caution when undertaking intervention strategies for limb length inequality of less than 5 mm when limb length inequality has been identified with clinical techniques. Recommendations are provided regarding intervention strategies. J Orthop Sports Phys Ther. 2003;33:221-234.

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Section: Pathologies Related To Limb Length Inequalitymentioning

confidence: 99%

“…45,55 The Ilizarov technique has been used successfully to lengthen a bone. 47,52 This is achieved through osteotomy and distraction of the bony components with external fixation. The bone is held in place while osteoblastic activity fills in the newly created space.…”

Section: Intervention Strategiesmentioning

confidence: 99%