Biomechanical Analysis of an Achondroplastic
Dwarf with Limb Length Discrepancy
disease and pain 7 . Although orthopedic
interventions such as limb lengthening
is common for this patient population,
there are related risk factors including
fractures, failed union, early consolidation,
malalignment, infection, joint stiffness, and
an increase in the early manifestation of
lumbar spinal stenosis 2, 8, 9 .
In this case study the patient did
not have any prior surgeries, thus allowing
for the attempt to study the effectiveness
of conservative treatment with custom
molded orthoses; unfortunately, patient
failed to follow up. Individuals with this
disease should be encouraged to maintain
an active lifestyle because maintaining a
healthy BMI is a challenge for this patient
population 2, 10 . Some of the manifestations
of the pathology can be predicted with
age, and the complications can be better
treated conservatively or surgically with
early findings11. A multidisciplinary team
approach is recommended with different
expertise in order to manage different
manifestations of this disease 3 .
-PFA
"A multidisciplinary team approach is
recommended...in order to manage...different
manifestations of this disease."
REFERENCES: the American Academy of
1) Waller DK, Correa A, Vo TM, Orthopaedic Surgeons 17: 231-41,
et al: The populationābased 2009
prevalence of achondroplasia 3) Wright MJ, Irving MD: Clinical
and thanatophoric dysplasia management of achondroplasia.
in selected regions of the US. Archives of disease in childhood
American Journal of Medical 189092, 2011.
Genetics Part A 146: 2385-9, 2008.
28
4) Hunter AG, Bankier A, Rogers
2) Shirley ED, Ain MC: JG, et al: Medical complications
Achondroplasia: manifestations of achondroplasia: a multicentre
and treatment. Journal of patient review. Journal of medical
Pedorthic Footcare Association www.pedorthics.org