Baylis W J, Rzonca E C
Chicago Osteopathic Medical Center, Illinois.
Clin Podiatr Med Surg. 1988 Jul;5(3):509-20.
The examining physician should have a high index of suspicion when evaluating patients with lower extremity and/or back pain so that the diagnosis of leg length inequality is not overlooked. If an organized and systematic physical examination is performed, the practioner will become more comfortable and competent in the diagnosis of limb asymmetry. Once the diagnosis of limb length asymmetry is made the further classification of functional versus structural limb length discrepancy will dictate what treatment will be indicated. The structural asymmetries are evaluated by the indirect method of measurement and treatment with a heel lift approximately half the measured asymmetry initially. The functional asymmetries are evaluated by the flexion and pronation tests and treated with a properly posted orthotic.
在评估下肢和/或背痛患者时，检查医生应保持高度的怀疑指数，以免忽略腿长不等的诊断。如果进行有条理、系统的体格检查，从业者在诊断肢体不对称方面会更加得心应手。一旦做出肢体长度不对称的诊断，功能性与结构性肢体长度差异的进一步分类将决定所需的治疗方法。结构性不对称通过间接测量方法进行评估，并最初使用约为测量出的不对称值一半的足跟垫进行治疗。功能性不对称通过屈曲和内旋试验进行评估，并使用合适的定制矫形器进行治疗。
