Traumatology and Orthopedics of RussiaTraumatology and Orthopedics of RussiaТравматология и ортопедия России2311-29052542-0933Vreden National Medical Research Center of Traumatology and Orthopedics178110.17816/2311-2905-1781ReviewsОбзорыReviewsReview ArticleLeg Length Measurement: ReviewИзмерение длины нижних конечностей: обзор литературыhttps://orcid.org/0000-0001-9641-191XPetrovaDaria A.ПетроваДарья Александровна
Russian Federation
radd.arr@mail.ruhttps://orcid.org/0000-0002-7651-8485KenisVladimir M.КенисВладимир Маркович
Russian Federation

Dr. Sci. (Med.)

д-р мед. наук

kenis@mail.ruH. Turner National Medical Research Center for Сhildren’s Orthopedics and Trauma SurgeryФГБУ «Национальный медицинский исследовательский центр детской травматологии и ортопедии им. Г.И. Турнера» Минздрава РоссииMechnikov North-Western State Medical UniversityФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава России2408202223092022283971051705202225072022Copyright ©; 2022, Petrova D.A., Kenis V.M.Copyright ©; 2022, Петрова Д.А., Кенис В.М.Copyright ©; 2022, Petrova D., Kenis V.2022Petrova D.A., Kenis V.M.Петрова Д.А., Кенис В.М.Petrova D., Kenis V.https://creativecommons.org/licenses/by/4.0https://journal.rniito.org/jour/article/view/1781

Background. Measurement of the length of the lower extremities is an important part of the assessment of the musculoskeletal system. If there is a discrepancy in the length of the legs, the accuracy of the measurement technique will determine the choice of further tactics for treating the patient. However, to date, there is no consensus among experts regarding the optimal and accurate method for assessing this clinical condition.

The aim is to analyze foreign and domestic researches about measurement of limb length discrepancy and to determine the optimal method for measuring the lengths of the lower extremities.

Methods. More than 70 scientific articles were selected from 1983 to 2021 in the PubMed/MEDLINE and eLIBRARY databases in Russian and English languages.

Results. An analysis of the literature data did not reveal the optimal method for measuring the length of the lower extremities. Clinical evaluation procedures have demonstrated poor reproducibility and high measurement errors. Radiation imaging techniques also have measurement errors, additionally exerting radiation exposure on the patient. Imaging techniques such as ultrasound and MRI are described in several studies, which does not allow to fully determine all the advantages and disadvantages of these methods when measuring the lengths of the lower extremities.

Conclusion. The study and development of new methods for diagnostics different lengths of the lower extremities, as well as the improvement of existing methods, will improve the quality of diagnosis of this pathological condition, and therefore affect the quality of the treatment for its correction.

Актуальность. Измерение длины нижних конечностей является важным элементом оценки состояния опорно-двигательного аппарата. При выявлении несоответствия в длине ног точность методики измерения будет обуславливать выбор дальнейшей тактики лечения пациента. Однако на сегодняшний день не существует единого мнения специалистов относительно оптимальной и точной методики измерения длины нижних конечностей.

Цель обзора — на основании анализа зарубежной и отечественной литературы определить оптимальную методику измерения длины нижних конечностей.

Материал и методы. Было отобрано более 70 научных статей с 1983 по 2021 г. в базах данных PubMed (MEDLINE) и eLIBRARY на русском и английском языках.

Результаты. Анализ литературных данных не выявил оптимальной методики измерения длины нижних конечностей. Клинические методики оценки продемонстрировали плохую воспроизводимость и высокие погрешности измерений. Лучевые методики визуализации также не лишены погрешностей измерений, дополнительно оказывают на пациента лучевую нагрузку. Методики визуализации, такие как УЗИ и МРТ, описаны лишь в нескольких исследованиях, что не позволяет полноценно определить все их достоинства и недостатки при измерении длины нижних конечностей.

Заключение. Изучение и разработка новых методик определения разной длины нижних конечностей, а также усовершенствование уже существующих методик позволят улучшить качество диагностики данного патологического состояния, а следовательно, повлиять на качество проводимого лечения.

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