Quick Answer: What Is Lld Orthopedics?

What is LLD medical?

A limb length discrepancy (LLD) is when one arm or leg is longer than the other arm or leg. A difference in leg lengths is more likely to be noticed and to affect activities of daily living.

What causes LLD?

Limb length discrepancy (LLD) can be congenital or acquired. Some causes of congenital LLD include fibular hemimelia, tibial hemimelia, congenital femoral deficiency, hemihypertrophy or other limb hypoplasias. Acquired LLD is usually due to an insult to the growth plate by trauma, infection, radiation, or tumor.

What is considered a significant leg length discrepancy?

More than 50% of people have a subtle difference in their leg lengths. These mild variations usually do not cause problems. However, for the small percentage of people with a leg length difference greater than 2 cm, the difference in length can affect their well-being and quality of life.

What kind of doctor treats leg length discrepancy?

The first step in diagnosing a limb-length discrepancy is a complete medical history and physical examination by an orthopedic surgeon. During the exam, the doctor will measure your child’s limbs to calculate how different they are in length.

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Is LLD a disability?

D. A language/learning disability (LLD) is a disorder that may affect the comprehension and use of spoken or written language as well as nonverbal language, such as eye contact and tone of speech, in both adults and children.

Is LLD hereditary?

Children with limb-length discrepancies are often born with the condition, although it may not be obvious to parents until the child begins to crawl or walk. Some children develop limb differences over time as a result of illness or injury.

How is LLD treated?

Most cases of congenital limb length discrepancy can be treated with lengthening and reconstruction. In many cases, we prefer to start the lengthening and reconstruction surgery process before the patient reaches the age of 4 years, often as young as 2 years of age.

Is LLD curable?

Non-operative treatment is usually the first step in management and, in many cases; LLD is mild or is predicted to lessen in the future, based on growth rate estimates. In such cases, no treatment may be necessary or can be delayed until a later stage of physical growth that allows for a better predictive estimate.

How do you test for LLD?

A tape measure is typically used to measure the length of each lower extremity by measuring the distance between the anterior superior iliac spine (ASIS) and the medial malleolus and is referred to as the “direct” clinical method for measuring LLD (Fig. 2).

What problems can leg length discrepancy cause?

Symptoms. Patients with significant lower limb length discrepancies may walk with a limp, have the appearance of a curved spine (non-structural scoliosis), and experience back pain or fatigue. In addition, clothes may not fit right.

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Can uneven leg length cause hip pain?

A leg length discrepancy may be functional or structural in nature. Minor discrepancies often cause no symptoms or problems. However, moderate-to-severe asymmetry may cause issues with walking and posture, and it can contribute to hip and back pain.

How do you know if you have a leg length discrepancy?

How to Determine Differences in Leg Length. The only real way to assess a permanent, structural difference in leg length is through the use of an X-Ray or CT scan. This is because sometimes the appearance of uneven legs isn’t due to an actual difference in leg length.

What are the 3 types of leg length discrepancies?

There are three types of LLD: structural, functional and environmental. The structural or anatomic type is due to a difference in the actual length of the tibia or femur. This may be of congenital, post-trauma or post-surgery etiology as LLD commonly occurs following hip or knee replacement.

Can one leg shorter cause back pain?

Those who suffer from functional leg length discrepancy are those who tend to suffer from lower back pain. The Academy of Clinical Massage shares that tight back muscles on the “short side” are often the cause of the leg length difference.

Can a chiropractor fix leg length?

A Chiropractor Can Help with Leg Length Discrepancy A chiropractor is a nervous system and musculoskeletal expert who is well trained to handle conditions like leg length discrepancy. Their main goal is to help improve the overall health and wellbeing of your body.

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