Scoliosis and short leg syndome

Question 1

angle used in scoliosis

Answer 1

cobb angle

Question 2

Scoliosis with convexity on right?

Answer 2

Dextroscoliosis

Question 3

Scoliosis with convexity on left

Answer 3

levoscoliosis

Question 4

Cobb angle for mild scoliosis

Answer 4

5-15 degress

Question 5

cobb angle for moderate scoliosis

Answer 5

20-45 degrees

Question 6

cobb angle for severe scoliosis

Answer 6

> 50 degrees

Question 7

Respiratory function is compromised at what cobb angle

Answer 7

> 50

Question 8

Cardiovascular function is compromised at what cobb angle

Answer 8

> 75

Question 9

Findings in Short leg syndrome

Answer 9

• Sacral base unleveling toward short leg
• Vertebral sidebending away and rotation toward short leg
• Anterior innominate rotation on side of short leg
• slight increase in Ferguson’s angle

Question 10

When should a heel lift be considered in short leg syndrome

Answer 10

if > 5 mm difference in femoral head heights

Question 11

Describe Heel lift guidelines in Short leg syndrome

Answer 11

1) Heel lift applied to side of short leg
2) Final lift height should be 1/2 to 3/4 of the measured leg length discrepancy, unless it was acute (i.e. hip fx or hip prosthesis). In this case, lift the full amount that was lost
3) The “fragile” (elderly, arthritis, osteoporotic, or having acute pain) patient should begin with a 1/16” (1.5 mm) heel lift and increase 1/16” every 2 weeks
4) The “flexible” patient should begin with 1/8” (3.2 mm) heel lift and increase 1/8” every 2 weeks
5) A maximum of 1/4” may be applied to the inside of the shoe and the rest outside
6) maximum heel lift possibe is 1/2”. if more height is needed, an ipsilateral anterior sole lift extending from heel to toe should be used in order to keep the pelvis from rotating to the opposite side