Danbert R J
J Manipulative Physiol Ther. 1988 Aug;11(4):290-5.
Controversy persists regarding the significance of leg length inequality, the diagnostic approach to the use of heel lifts, and the implementation of proper orthopedic support in treatment of anatomical leg length inequalities. The purpose of this paper is to review the literature and formulate a sequential examination for a patient with leg length discrepancy, then outline a formula for the treatment of the patient. The initial problem a practitioner faces in examining a patient with leg length inequality is to determine if a true (anatomical) leg deficiency exists. Through a series of measurements and pelvic assessments, an effective screening process can be accomplished before radiography (scanogram) is required. An understanding of the mechanics along the kinetic chain, anywhere from the foot to the lumbar spine, coupled with the information gained from radiographs, can provide a treatment plan detailing the size of the lift and location.
关于腿长不等的重要性、使用足跟垫的诊断方法以及在治疗解剖学腿长不等时实施适当的骨科支撑，争议仍然存在。本文的目的是回顾文献，并为腿长差异患者制定一个序贯检查方法，然后概述一个治疗该患者的方案。从业者在检查腿长不等的患者时面临的首要问题是确定是否存在真正的（解剖学）腿长不足。通过一系列测量和骨盆评估，可以在需要进行放射摄影（扫描图）之前完成有效的筛查过程。了解从足部到腰椎的动力链力学原理，再结合从X光片中获得的信息，就可以提供一个详细说明足跟垫大小和位置的治疗方案。
