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Linear Morphea and Leg Length Discrepancy: Treatment with a Leg‐Lengthening Procedure
Author(s) -
Handler Marc Z.,
Wulkan Adam J.,
Stricker Stephen J.,
Schachner Lawrence A.
Publication year - 2013
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.12169
Subject(s) - medicine , morphea , orthopedic surgery , popliteal fossa , lesion , atrophy , surgery , anatomy , radiology , biopsy
A 15‐year‐old Colombian boy with a 10‐year history of linear morphea presented to a pediatric orthopedic clinic with a leg length discrepancy. The morphea had been previously treated with methotrexate, oral and topical steroids, and topical vitamin D, but the lesion persisted, extending down the entire medial aspect of the left leg across the popliteal fossa. The patient had atrophy and growth retardation of the left leg, resulting in lower extremity bone and joint pain and a 3‐cm limb length disparity at maturity. The patient preferred left tibial lengthening to improve the limb length disparity.