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GrowthIllustrated guide

Unequal leg length: understanding assessment

Three steps on apparent or true differences, measurement during assessment and monitoring growth. This is not a guide to self-measurement.

A child standing with one knee slightly bent while the doctor and mother observe the position of the legs.

Different length or different position?

Pelvic tilt and limping can have several causes. Neither proves that one leg is shorter.

A doctor observing and comparing the legs of a barefoot child standing during an examination.

Compare the legs during assessment

The clinician compares the legs, observes walking and requests imaging when it is useful.

A doctor discussing individual care with a child and mother, with a shoe and a heel lift on the table.

Growth also matters

Observation, a shoe lift or surgery depend on cause, symptoms and predicted difference. Do not select a lift from a photograph.

Illustrations and general information for families. They do not replace an individual medical assessment or instructions from the treating team.

Dr Daniele Priano — Paediatric orthopaedics

Read the complete condition information →

Sources

Need a specialist evaluation?

Book an appointment at Istituto Gaetano Pini or CTO Milan.