Scoliosis, short leg syndrome

Question 1

Scoliosis

Answer 1

lateral deviation from normal line

Question 2

“rotoscoliosis”

Answer 2

because some fuck realized when you sidebend you rotate so this of course is “more appropriate”

Question 3

what percent of kids have scolioisis by age 15

Answer 3

5% F:M 4:1

Question 4

curve that sidebends left

Answer 4

scoliosis to the right

dextroscoliosis

Question 5

curve sidebent right

Answer 5

scoliosis left

levoscoliosis

Question 6

structural scoliotic curve

Answer 6

fixed and inflexible

does not correct with sidebending in opp direction

Question 7

functional scoliotic curve

Answer 7

flexible and can be partially- completely corrected with sidebending to opp side

Question 8

when find abnormal curve when screening for scoliosis correct what before geting XR

Answer 8

screen lumbosacral SD for a sacral shear (short leg)

Question 9

cobb angles for mild, mod, severe scoliosis

Answer 9

mild 5-15
mod 20-45
severe >50

Question 10

resp function compromised when

CV?

Answer 10

resp when thoracic >50 degrees

CV when >75 degrees

Question 11

most causes of scoliosis

Answer 11

idiopathic

Question 12

short leg syndrome characteristics

Answer 12

sacral base unleveling
vertebral sidebending and rotation
innominate rotation

Question 13

most common cause anatomical leg length discrepency

Answer 13

hip replacement

Question 14

OMT findings short leg syndrome

Answer 14

sacral base unleveling
anterior innominate rotation on short leg and posterior rotation on long leg
lumbar sidebend away and rotate toward short leg
the lumbosacral angle inc 2-3 degrees
iliolumbar lig and SI ligaments strained on side of short leg

Question 15

when to consider heel lift

Answer 15

when femoral head difference is >5 mm

Question 16

guidelines for heel lift

Answer 16

applied to side of short leg
final height should be 1/2-3/4 measured leg length discrepency (unless sudden cause of discrepancy then do full amount right away)
fragile patient: 1/16 of 1.5 mm to begin and increase every 2 weeks
flexible patient: 1/8 or 3.2 mm every 2 weeks

Question 17

maximum heel lift inside a shoe

Answer 17

1/4”

Question 18

maximum heel lift overall

Answer 18

1/2”