Bone dysmetria is caused by a difference in the length of the bones and can cause more serious pathologies. Throughout this post, the importance of going to a qualified professional when symptoms appear will be explained.
What is bone loss?
Bone dysmetria is a difference in the length of the limbs, due to a difference in the length of the bones for many different reasons. In many cases, this difference is minimal and does not pose a problem in the patient’s daily activities. However, when the difference in measurement is greater, dysmetria can affect day-to-day life.
Causes of bone loss
The causes of bone dysmetria are very varied, depending on the reason that causes the difference in length. In many cases, this difference is due to a congenital anomaly of the fetus, when it is still in the mother’s womb. In these cases, an infection can occur that makes the development of all the bones not the same.
On other occasions, this pathology is caused by neuromuscular diseases, which are diseases that affect muscles and nerves, and can cause incomplete development of the muscles. Among them, one could distinguish muscular dystrophies, for example.
In other cases, the dysmetria may be caused by infections, which prevent the correct development or, in some cases, force the removal of a bone segment, which causes dysmetria.
The most common is that these bone disorders are related to pathologies that directly affect the growth of cartilage, which causes the bone to develop correctly.
Types of bone loss
When talking about the types of bone dysmetria, in the first place, a differentiation must be made between real asymmetries, which are permanent asymmetries caused by other pathologies, and apparent dysmetria, which are those that arise as a result of muscle contractures.
On the other hand, the classification of the dysmetria is done based on the difference in length between one bone and another. First, there is dysmetria of less than one centimetre, which do not affect the patient’s activities and simply must be observed by a specialist during the growth stage.
Secondly, the dysmetria between one and a half centimetres and four centimetres, in this case, it is usually enough for the patient to introduce a compensatory lift inside his shoe. In the case of dysmetria of up to 7 centimetres, various lengthening techniques can be used, as well as adapted shoes.
However, in patients with dysmetria of more than ten centimetres, it is usually necessary, that the patient undergoes a surgical intervention.
What are the symptoms of bone loss?
The main symptoms of dysmetria usually manifest in a gait disturbance, that is, the patient has an unstable and irregular gait, which, in addition, can cause other types of hip or knee injuries. In these cases, the patient usually experiences discomfort when walking, since other parts of their body have to exert themselves.
On the other hand, it is common to present a deviation from a posture that will be reflected, especially, in the position of your spine.
Diagnosis of bone loss
In some cases, bone loss can be seen by ultrasound when the fetus is in the womb. However, the most common is that it is diagnosed in the child’s growth stage, which normally goes to the specialist’s office showing symptoms.
First, an evaluation of the general condition of the patient will be carried out, as well as, during a period of time, they must undergo periodic reviews, in which the development of the pathology will be observed.
In many cases, it will be necessary to carry out diagnostic imaging tests, such as X-rays or MRIs, which allow us to observe the patient’s joint, as well as to extract information about the possible causes.
Normally, the patient will undergo an examination of the hip joint, to rule out that the origin of the dysmetria is located in this joint.
Main treatments for bone loss
Once the bone dysmetria has been diagnosed, the most appropriate treatment will be designed for each patient, taking into account the characteristics that they present.
In the case of slight dysmetria, it will be enough to use a lift inside the shoe, which helps both legs reach the same length or the use of adapted footwear.
In patients with more severe dysmetria, surgery will be studied to help improve the quality of life of the patient. When the dysmetria is diagnosed in the age of growth, the most recurrent treatment is that of bone lengthening, by means of which, a prolongation of the bone is carried out, carried out in different interventions, with the aim that the patient reaches the end of the procedure. growth stage without joint dysmetria.
Prevention of bone loss
In many cases, bone dysmetria is unavoidable, as they are caused by congenital alterations or untreatable pathologies. However, there are certain guidelines that can help prevent it.
In the first place, periodic reviews in the growth stage acquire special importance, with the aim of locating any anomaly and being able to solve it in time.
In addition, it is advisable to avoid forced postures that may be harmful to the joints and muscles of the human body.