Cause of short leg syndrome
- anatomical: occurred at birth; fracture of long bone, flat foot, Genu valgum or varus, osteoarthritis
- functional: landing on leg abnormally,
Bony landmarks for short leg syndrome
A: Anterior Superior Iliac Spine
B: Anterior Inferior Iliac Spine
C: Ischial tuberosity
D: Posterior Superior Iliac Spine
Treatment of short leg syndrome?
- Want to tilt pelvis to correct position–if anterior/ towards posterior and vice versa
- use muscle energy
Scoliosis
- what is it?
- causes
- when occurs
- lateral curvature of spine
- Causes: genetic, short leg syndrome, SOAS spasm,
Treatment of scoliosis
- Stretching and muscle energy to help with muscle discomfort
- surgical treatment for serious cases
Can OMT fix scoliosis?
No, just improve discomfort
Clinical presentation of short leg syndrome
- middle aged or older.
- chief complaint of midline lumbosacral pain that is most often described as dull or aching in nature.
- pain will radiate to one buttock (usually on the side of the short leg).
Short Leg Evaluation
- Illiac crest height
- inferior iliac crest indicates a relative short leg
Infantile scoliosis
non–weight bearing spinal curvature that becomes apparent between birth and age 3, is generally considered to be the result of molding due to intrauterine position.
Myopathic scoliosis
result from asymmetric muscular strength seen in conditions such as muscular dystrophy
Von Recklinghausen’s neurofibromatosis
- autosomal dominant genetic disease that is associated with scoliosis in approximately 40% of cases.
- due to developmental failure of the spine
Naming scoliosis for exercises and stretching
- always stretch affected side and exercise weak side
- always named for side with convex; which is side that will be stretched
