Limb Length Discrepancy

A child on crutches due to a limb lenght discrepancy

The world-renowned pediatric orthopedists at Nemours are experts at evaluating and treating children from birth through age 18 with limb length discrepancies and deformities. Our specialists take a multidisciplinary team approach to diagnose and correct limb inequalities using advanced, nonsurgical treatments (such as physical medicine and rehabilitation) and state-of-the-art, minimally invasive limb lengthening surgical procedures and limb reconstruction. Recognized as international leaders and pioneers in pediatric orthopedics and orthopedic surgery, our specialists and care teams are dedicated to treating your whole child — and family — not just the condition.

 
Read More About Limb Lengthening and Reconstruction at Nemours

Limb length discrepancy in children results from congenital malformations (defects present at birth), acquired problems (such as trauma) and certain diseases (neurofibromatosis, Blount disease). At Nemours, we understand the complex conditions and injuries that can cause functional discrepancy, and will work with you to understand available treatment options specific to your child’s needs.

Conditions We Treat at Nemours

Some of the conditions that require limb lengthening or limb reconstruction include:

  • bowlegs (genu varum, Blount disease) and knock knees (genu valgum)
  • growth plate injuries
  • congenital (present at birth) limb deformities (fibula hemimelia, congenital short femur, radial clubhand, etc.)
  • upper extremity deformity (Madelung disease, cubitus varus, multiple hereditary exostoses)
  • short stature (skeletal dysplasias, growth hormone patients)
  • fracture malunions or nonunions 

When you come to Nemours, you can expect compassionate care in a family-centered environment. This means that every detail, from our medical care and support services to our facilities and amenities, were designed with you in mind. We value your opinion and encourage participation in your child’s care, because you know your child best.

Nemours Children's Clinic, Fleming Island

1747 Baptist Clay Drive, Suite 130
(U.S. 17 and Village Square Parkway)
Fleming Island, FL 32003
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For Appointments: (904) 697-3600

Hours: Monday–Friday, 8 a.m. to 5 p.m.
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What to Bring
  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
New Patients

Bring these forms for your first appointment:

Returning Patients
 
Forms & Resources
New Patient Forms
Returning Patient Forms
Resources for Patients & Families
Support Services & Information
  • Ronald McDonald House of Jacksonville: a safe, free, family-centered home away from home when your child is sick and needs to be hospitalized
  • CaringBridge: visit this free site offering support and communication to help your family through your child's medical journey.

At Nemours Children’s Clinic, Fleming Island, we provide a comprehensive limb length discrepancy program for children from birth through age 18 with a limb deformity or an unequal limb length.

 
Your Limb Length Discrepancy Care Team

To provide a diagnostic evaluation and limb length discrepancy treatment designed to improve function and well-being, we rely on a team approach that combines the expertise of:

We also frequently consult with specialists from genetics, physical medicine and rehabilitation and behavioral health (to help children cope with any feelings about their condition and treatment).

 
Limb Length Discrepancy Conditions We Treat
We treat a variety of limb-length discrepancy conditions, including:
  • Congenital malformations (present at birth), such as:
    • Fibular hemimelia: absence of part of the fibula
    • Congenital short femur: when a child is born with a short femur, the bone in the upper leg, between the hip and knee
    • Hemihypertrophy: overgrowth of one side of the body
  • Acquired problems (developed later in life), such as:
    • Trauma: bone fractures
    • Infection that damages growth plates: resulting in severe limb shortening or deformities
  • Limb length discrepancies caused by disease:
    including neurofibromatosis and Blount’s disease
 
Comprehensive Treatment for Limb Length Discrepancy
At the Nemours Children's Clinic, Fleming Island we offer children both surgical and non-surgical treatment options for limb length discrepancy, including:
  • exercise program development
  • epiphysiodesis (surgical slowing of growth)
  • limb lengthening
  • limb shortening
  • limb deformity correction
  • shoe lifts and bracing

Whatever kind of limb length discrepancy your child has, know that at Nemours we do whatever it takes to give your child the very best, most compassionate treatment possible. We treat every child as we would our own — your child, our promise.