Deformation of foot valgus in children is a pathology where the distance between the ankle's inner side is 4-5 cm or more during tight compression and straightening the feet.At the same time, the heel, together with the finger -jari, deviated to the outside, and the inner arch of the foot appears to be flooded.
In orthopedic, such curvature is called X -shaped (with variables deformation, on the other hand, O -shaped curvature is observed).If, against the background of the valgus deformation, the decrease in the height of the gate is observed, they say that this is a flat-valgus deformation.
Usually, parents can be seen for deformation of their children's foot valgus, when they do seven to eight months-for this period the first attempt is free.
Classification
In the field of medicine, three degrees of Valgus's anomalous severity are distinguished:
- Light.The height angle of the gate is less than 140 °, the height of the longitudinal gate is approximately 15-20 mm, the position of the back valgus is approximately 10 °, the front of the foot is allocated by 8-10 °, the heel bone is blocked by 15 °.
- Average.The height of the gate in the second stage of the deformation of the leg valgus in children is 150-160 °, the height of the longitudinal vault is 10 mm, the heel leaning by 10 °, the position of the back valgus and the abduction of the front safe not more than 15 °.
- Weight (footsteps).The height of the vault is from 0 to 5 mm, the angle of Calcaneus tendency is from 0 to 5 °, the angle of the gate vaulting above 160-180 °, the back position and leading the front more than 20 °.The children complained of persistent pain in the joints.Severe severity of defect cannot be resolved to complete the correction.
There is another classification of deformation of the foot valgus, which is based on the cause of the disease:
- Compensation (due to shortened Achilles tendons).
- Structure (due to irregular position of RAM bone).
- Spastic (is a result of muscle cramps that are caused by disruption in cerebral cortex work).
- Hyper recovery (due to illiteracy treatment of children's curvature).
- Rachitic (shows himself on children with rickets).
- Mud (complications of encephalitis or polio).
- Traumatic (caused by fracture of the ankle joint, ligament rupture).
Causes of deformation of foot valgus in children
Deformation of foot valgus is congenital and obtained.In the first case, the cause of the disease is associated with intrauterine infringement/bone form.The diagnosis is made in the early stages.
The form of valgus anomalies obtained is not due to the ending tendon, as well as the deviation in the development of the musculoskeletal system.Typically, the diagnosis of "deformation of valgus stops" is made by children eight months old or when a 1 -year -old patient is.Divisions are most commonly formed in weak children with muscle hypotension.
Some of the main causes of deformation of the foot valgus in children:
- non -premature;
- intrauterine hypotrophy;
- frequent diseases with bronchitis, acute respiratory virus infections, inflammation of the lungs;
- congenital weakness of connective tissue;
- ricket;
- ligaments, lower bones, muscles;
- Long staying in gypsum;
- Children's obesity;
- Too early to set children in the feet;
- Wearing poor/incorrect shoes selected.
Also, valgus anomalies arise as a result:
- Cerebral palsy;
- Polyneuropathy;
- osteoporosis;
- Displasia;
- endocrine and genetic disorders;
- congenital dislocation of the thighs;
- polio;
- Muscularis dystrophia.
Symptoms of Valgus deformation
Symptoms of deformation of foot valgus in children include:
- During the walk, the children did not step all over the feet, but only on the inner edge (the "flooded" legs inside).
- The foot has a X -shaped shape.
- Answer to be awkward.
- The children complained of pain in the feet, back.
- At night, swelling of the feet is possible, cramps.
- The shoes that the children wear are torn uneven -first of all, the inside of one is wearing.
If you find the same symptoms in yourself, consult your doctor immediately.It's easier to prevent the disease than to deal with the consequences.
Diagnostics
To make a diagnosis such as the deformation of the valgus stop, the doctor's traumatologist examined the child and set a special examination to him:
- podometre (method of evaluating load distribution in specific departments);
- Computer plantography (allowing you to calculate foot morphological parameters);
- Radiography (allowing to study changes in relative foot position with each other).
In some cases, additional ultrasound joints are required.To exclude valgus deformation connections with central/peripheral nervous system diseases, the children are directed to neurologists.
How to deform foot valgus on children being treated
Children's leg deformation treatment is intended to normalize the shape of the feet, restore their function, strengthen the ligaments and muscles.In the case of congenital disease, children's orthopedists can prescribe wearing gypsum clothing.Conservative treatment also includes:
- Night shower.Increase muscle tone, ligaments.For the preparation of the bath, it is necessary to dissolve 1/3 cup of sea salt in 10 liters of warm water.Plant children in a 20 -minute waist solution.Sessions are held daily.One course includes 15 procedures.Repeat treatment every 4 months.
- Massage.Massage with deformation of foot valgus in children is one of the most important treatment points.It should be done by a qualified specialist.
- Mud and ozotoceros applications.
- Paraffin therapy.The paraffin wrap is made only on the feet or in the form of boot.Heating improves blood circulation, ligaments.
- Acupuncture.
- Electrical stimulation of the leg and lower leg muscles.Promotes muscle strengthening.
- Electrophoresis, magnetotherapy.
- Exercise therapy.LFK with deformation of foot valgus is carried out daily.Properly selected exercises can improve ligaments, muscle strength, increase mobility, normalize tissue metabolism, blood circulation.
To fix the deformation of the leg valgus, children must wear special shoes with hard side fixation from the heels and feet, using individual functioning insoles.For sports, you can ride a bike with valgus anomalies, swim.
The disease uses surgical treatment in cases of extreme (7%) if all conservative medical measures are ineffective.It can be:
- Arthrodesis operation.Prepare the joints without moving between the heel and the talus, where the internal gateway muscles are increasing.
- Surgical intervention.The manual correction of the child stop was carried out, after which the gypsum was focused.The session is held once a week.After each, the feet change their position.Doctors use gypsum throughout the legs (starting from mid -thighs).At the same time, the knees are bent at ninety degrees.In the last session, the doctor fixed the talus-navicular joint in the correct position, introducing the kirschner knitting needle through the skin.Then he was dressed in gypsum for two months.
- Children who have undergone treatment of foot valgus with the help of surgery should always wear special orthopedic shoes that support the foot gate.
- Small invasive operations that change the angle between the individual bones of the foot, in which the ligament apparatus tension increases.
Hazard
If the deformation level is light, complete recovery is possible.The degree of severe valgus deformation is not a normal cosmetic defect.The disease causes serious affected limbs, which can cause defects.
The absence of competent anomalous treatment can cause:
- flat feet;
- persistent pain in the feet;
- osteochondrosis;
- arthrosis;
- shortening the limbs;
- posture violations (scoliosis);
- Deformation of pelvis, ankle and knee joints.
A group of risks
The biggest risk for pain with valgus deformation occurs if the parents put the child at the beginning of their feet (up to 9 months), buying poor shoes -quality or their size is incorrectly selected.Also, infants suffering from rickets, who have a genetic tendency for curvature, are also exposed to pathology.
Prevention of deformation of leg valgus
Prevention of the disease includes the following:
- You shouldn't have put the child on his feet up to 9 months.
- Exclude the development of rickets (vitamin D prevention).
- Buy shoes with orthopedic insoles.The background of children's shoes should be 3-4 cm higher than the heel.One should bend well.The prerequisite is the presence of the supervisor.
- Massage.
Also, you cannot ignore the examination scheduled by orthopedic surgeons, surgeons, neurologists.At the age of 1 month, doctors can diagnose the presence of congenital diseases of the frame, in 3 and 6 months to exclude the development of the rickets, in 1 year to assess the amount of joint movement, the accuracy of the vertebral curvature, at 3 years - the staging, posture, and measuring limbs.
It is not possible to recover quickly with the diagnosis of valgus deformation.Parents will be able to evaluate the first decision no earlier than six months after the onset of conservative therapy.
This article is published exclusively for cognitive and non -scientific purposes or professional medical councils.