Valgus Foot deformation in children is a pathology in which the distance between the internal parties of the ankles is 4-5 cm or more during the narrow compression and leg adjustment.At the same time, heel, along with his fingers, deviates from the outside, and the inner bows of the feet are flooded inwards.
In orthopedic, such a curvature of the leg is called X-shaped x (with varus deformation of the foot, on the contrary, the curvature of the O-shapes is observed).If, with the background of Valgus deformation, it is reduced by the height of the bows of foot, they say this is a flat deformation.
Usually the parents are noticeable for the valgus deformation of the foot in their child, when they perform three to eight months - for this period of the flat valgus deformation of the foot, and the hairs of the feet is quite large, they are in "falls".
Classification
In medicine, there are three degrees of weight of the anomalia of Valgus:
- Light.The angle of the height of the port is less than 140 °, the height of the longitudinal port of Stop is about 15-20 mm, and the valgous position of the back foot is about 10 °, the front of the foot is awarded 8-10 °, the bone bent for 15 °.
- Average.The height of the port in the second degree of Valgus in children is 150-160 °, the height of the longitudinal treasury is 10 mm, the bone of the heel is 10 °, the valgous position of the back of the foot and the front of the front of the fow is not more than 15 °.
- Severe (submission).The height of the vault is from 0 to 5 mm, the angle of the Calcaneus slope is from 0 to 5 °, the angle of the vaulted port exceeds 160-180 °, the back of the rear and leading front is higher than 20 °.The child complains about constant community pain.Heavy deformation weight is not subject to complete correction.
There is another classification of the Deformation of the Valgus rate, which is based on the cause of the disease:
- Compensatory (caused by part-time Achilles tendons).
- Structural (due to the innate irregular position of the ramic bone).
- Spastic (is a consequence of muscular cramps that occurs due to the disorder in the work of the cerebral cortex).
- Penitentiary hyper (caused by illiterate treatment of child curvature of the foot).
- Rachitic (manifests in children with rikuts).
- Paralytically (complicating encephalitis or polio).
- Traumatic (caused by ankle joint bone, ligament rupture).
Causes of walgus feet deformation in children
Valgus foot deformation is innate and acquired.In the first case, the causes of diseases are related to intrauterine bone location / shape violation.The diagnosis is done in the infancy.
The acquired form of Valgus anomalia does not cause completed tendons, as well as deviations in the development of a musculoskelnim system.It is typical diagnosis of "Valgus Station Deformation" made in eight months old or when a small patient is 1 year.The deviation is most often formed in weakened children with muscle hombitation.
Among the most common causes of the deformation of the walgus foot in the child:
- Not-repair;
- intrauterine hypoterophy;
- Frequent diseases with bronchitis, acute respiratory viral infections, pneumonia;
- Congenital weakness of connective tissue;
- Rickets;
- League injuries, lower leg bones, muscles;
- Long stay in Gypsum;
- Children's obesity;
- She puts a child on his feet too soon;
- Wearing a bad-quantity / improperly selected shoes.
Also, the anomaly in Valgus arises as a result:
- Cerebral paralysis;
- Polineuropathy;
- osteoporosis;
- dysplasia;
- Endocrine and genetic disorders;
- congenital dislocation of thighs;
- Polio;
- Misular dystrophy.
Symptoms of Valgus deformation
Symptoms Valgus foot deformations in children include:
- While walking, the child does not step on the entire leg, but only on her inner edge (legs "flooded" inner).
- Legs acquire the shape x in the shape of the X-shaped.
- Walk becomes clumsy.
- The child complains of the pain in his legs, back.
- In the evening, the foot swelling is possible, cramps.
- The shoes that a child wear are uneven - first of all, the inner side of the fuck is spent.
If you find similar symptoms in yourself, look for a doctor immediately.It is easier to prevent disease than to deal with consequences.
Diagnostics
To make such a diagnosis as a valgus deformation stop, Dr. Traumatologist and Orthopedic examines a child and prescribe a special overview of him:
- Podometers (method assesses the distribution of cargo on certain feet departments);
- Computer fantasy (allows you to calculate the morphological style of foot);
- Radiography (allows studying changes in the foot position in relation to each other).
In some cases, additional ultrasound of joints is needed.To turn off the connection of Valgus deformation with the diseases of the central / peripheral nervous system, the child is directed at a children's neurologist.
How to treat the deformation of Valgus in children
The treatment of valgus deformation in children aims to normalize the form of the foot, restoring their functions, strengthening the ligamentous and muscle device.In the event of an innate form of disease, a children's orthopedic can prescribe wearing gypsum overflows.Conservative treatment includes:
- Night baths.Improve muscle tone, ligaments.To prepare the bath, it is necessary to dissolve 1/3 cup of sea salt in 10 liters of water heat.Plant a child in a solution in the waist 20 minutes.Sessions are held every other day.One course includes 15 procedures.Repeat treatment every 4 months.
- Massage.Massage with a deformation of valgus feet in children is one of the most important points of treatment.You should make a qualified specialist.
- Apps for mud and ozotoceros.
- Paraffin therapy.Paraffin cover is made only on foot or in the form of a boot.Heating improves blood circulation, ligaments.
- Acupuncture.
- Electrical stimulation of foot and lower leg muscles.Promotes strengthening muscles.
- Electrophoresis, magnetotherapy.
- Exercise therapy.LFK with Valgus foot deformation is done daily.Properly selected exercises can improve ligament flexibility, muscle strength, increase the mobility of the common, normalizing the tissue metabolism, blood circulation.
To correct the valgus deformation of the foot, children must wear special shoes with hard fixation of heel and feet, use certain functional roles.As for sports, you can ride a bike with the anomaly of Valgus, swim.
The disease refers to surgical treatment in extreme cases (7%) if all conservative medical measures are inefficient.May be:
- Arthrude's surgery.Secure the motionless compound between the bones of Pete and the talus, which are reinforced by the muscles of the inner port.
- Surgical intervention.A hand correction of stopping a child is carried out, after which the plaster is inscribed.Sessions are held once a week.After each of them, the foot changes its position.The doctor applies a gypsum on the entire foot (starting from the middle third of the thighs).At the same time, the knee is bent at an angle of ninety degrees.At the last session, the doctor corrects a talus-nakucular connection in the right position, introducing a Kirschner knitting through the skin.Then he dresses a plaster two months.
- Children who have undergone the treatment of walgus leg deformation with the help of surgery should always wear special orthopedic shoes that support bows of foot.
- Small invasive operations that change the angle between individual costume feet, which is increasing the tension of ligamental apparatus.
Hazard
If the deformity deformation is mild, a complete recovery is possible.The difficult degree of deformation of Valgus is not an ordinary cosmetic failure.The disease causes serious functional dent of limb, which can lead to disability.
The absence of competent treatment of anomaly may cause:
- Flat feet;
- permanent pain in legs;
- osteochondrosis;
- arthrosis;
- Shortening of limbs;
- Breach of holding (Scoliosis);
- Deformation of pelvic joints, ankles and knees.
Risk group
The highest risk of dilution with the deformation of Valgus happens if parents put the child early on their feet (up to 9 months), buying a bad -quality shoes or size is wrong.Also, babies that suffer from rickets, which have a genetic predisposition for curvature, are also prone to pathology.
Prevention of the deformation of Valgus Foot
Disease prevention includes the following points:
- You shouldn't put a child on your feet up to 9 months.
- Exempt development of a raidet (preventive entry of vitamin D).
- Buy your shoes with orthopedic cartridges.Backdrop children's boots should be 3-4 cm higher than heels.The unit should bend well.Prerequisite is the presence of supervisors.
- Massage your feet.
Also, you should not ignore the scheduled examinations of an orthopedic, surgeon, neurologist.At the age of 1 month, the doctor may diagnose the presence of congenital diseases, in 3 and 6 months to exclude the development of raičnica, in one year to assess common movements, in 3 years - checking, hold and measure the length of the limbs.
It is impossible to recover quickly by diagnosis of valgus deformation.Parents will be able to assess the first results not six months after the beginning of conservative therapy.
This article was published exclusively for cognitive purposes and is not a scientific material or a professional medical council.