The Orthobullets Podcast Podiums⎪Pediatrics⎪Lower Limb Differences in Children - Congenital and Non Congenital Causes
Jul 12, 2025
Jaclyn Hill, a renowned expert in pediatric orthopedics, shares her insights on lower limb differences in children. She discusses both congenital and non-congenital causes, providing a thorough overview of conditions like fibular hemimelia and Blount's disease. Hill emphasizes the importance of comprehensive evaluations for effective treatment strategies. She also presents captivating examples and case studies that illustrate the challenges faced by young patients, making this a must-listen for those interested in pediatric healthcare.
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Wide Spectrum of Congenital Limb Differences
- Congenital lower limb differences vary widely in presentation and incidence, ranging from 3 to 300 per 10,000 births.
- Fibular hemimelia is the most common deficiency, followed by femoral and tibial deficiencies, showing a spectrum from mild discrepancy to severe malformation.
Variation in Non-Congenital Causes
- Non-congenital causes of lower limb differences include neoplasm, trauma, infection, Blount's disease, and metabolic disorders.
- Within a diagnosis like Blount's disease, the severity and presentation can vary greatly among patients.
Systematic Evaluation Steps
- Begin lower limb difference evaluation with detailed history and focused physical examination.
- Use imaging like long limb x-rays, scanograms, and CT to assess bone, joint, and ligament status comprehensively.