Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/46631
Type: Journal article
Title: Patterns of extra-spinal left-right skeletal asymmetries and proximo-distal disproportion in adolescent girls with lower spine scoliosis: ilio-femoral length asymmetry & bilateral tibial/foot length disproportion
Author: Burwell, R.
Aujla, R.
Freeman, B.
Dangerfield, P.
Cole, A.
Kirby, A.
Pratt, R.
Webb, J.
Moulton, A.
Citation: Studies in Health Technology and Informatics, 2006; 123:101-108
Publisher: IOS Press
Issue Date: 2006
ISSN: 0926-9630
1879-8365
Statement of
Responsibility: 
Burwell RG, Aujla RK, Freeman BJ, Dangerfield PH, Cole AA, Kirby AS, Pratt RK, Webb JK, Moulton A.
Abstract: Anomalous extra-spinal left-right skeletal length asymmetries have been detected in girls with adolescent idiopathic (AIS) in four sites (1) upper limbs, (2) periapical ribs, (3) ilium, and (4) right leg and right tibia. This paper on adolescent girls with lower spine scoliosis reports (1) a fifth pattern of left-right ilio-femoral length asymmetry associated with sacral alar height asymmetry, and (2) bilateral anomalous lengthening of the tibia relative to the foot. The findings are consistent with the hypothesis that at the time of diagnosis of AIS in girls there are anomalies of skeletal proportions associated with a predisposition to curve progression; these proportions are in three dimensions--left-right, cephalo-caudal in the trunk (proximo-distal in the lower limbs), and front-back in the trunk. The origin of these anomalies is unknown but possible causes, and of the associated AIS, are genetic and environmental factors acting in embryonic life not expressed phenotypically until years after birth.
Keywords: Lumbosacral Region
Tibia
Humans
Scoliosis
Anthropometry
Adolescent
Female
Postural Balance
United Kingdom
Appears in Collections:Aurora harvest
Orthopaedics and Trauma publications

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