Leg bone shortening

The key evidence for this condition is an objective measurement of both leg lengths taken from the anterior superior spine of the ilium to the internal malleolus of the tibia. A clinician's recorded measurement showing the difference in centimeters or inches between the two legs is the most direct way to place your condition at a specific rating level. Imaging such as X-rays or scanograms that document bone length can support or confirm those measurements. Medical records noting the underlying cause of the shortening, such as a fracture or surgical history, can help establish service connection and provide context for the measurements. If the shortening affects how you walk, stand, or work, a statement from you or from treating providers describing those functional limitations can also be part of the record, though the rating itself is tied to the measured difference in leg length rather than to functional findings.