Znoć-valgus foot - the most common children's orthopedic pathology.He usually encounters in the first year of the child's life, because she becomes obvious after the baby starts overcome independent walking.What to do if such a curvature is found, we will say in this article.
What is Valgus deformation
In fact, the deformation of valgus and straight feet are different pathologies of lower extremities, but the combination of luke reductions are most often perceived, and the change of foot deposit with oral displacement, characteristic of the deformation of Valgus, is most often noticed.
The curvature of Valgus is such a deformation in which the child in an upright position is based mainly on the inside of the foot, and the fingers and fifths are arranged in the external direction.
Normally, setting up the legs should be parallel, that is, when you look at two standing legs behind you, you can mentally draw two flat vertical lines.In the child with valgus deformations, these lines are refractized in the area of ankle joint with outward devotion, which determines the second name of the deformation in the form of pathology-x.
With straight legs, all is much more complex.All children from birth have a physiological flat foot, so it is impossible to consider this pathology in 1-2 years.However, the orthopedics differ in the problem of comprehensive, and the deformation of diagnostics-flat valgula appears in the child's medical records in the medical record.
It is rare enough, but the curvature of Valgus can be innate.For some reason, the lower limbs of fruit in the womb is beginning to develop abnormally.Such legs are visible almost immediately after the birth of a baby born, and in 2-3 months, the diagnosis usually seems quite reasonable.
A straight-walgus foot is not a sentence.With timely treatment, with the responsible and systematic approach to his parent, the foot function in the event of a mild pathology can be completely renovated.It all depends on the degree of illness.
Apartment - Valgus Foot Deformation - How to correct a breakdown?
Placing Valgus Installation of stops - Orthopedic anomalia, characterized by changes in the deformation in the foot, which is located in adults and children.
Deformation is a violation of the surface of the foot, when its middle part is being broke, and the fingers and the heels are facing out.
The reason for abnormal foot development is in the weakness of ligaments, muscles and tendons, when the foot attracts them under the influence of stronger muscle.The result of this effect is the formation of straight feet.
Planealgus Foot deformation basically is the same flat feet, a very common defect found in each fifteenth resident of the planet.The disease is difficult to treat, and the process of treating debt and problematic.
Reasons of Development of Pathology
During the evolution, our foot was formed in such a way that it is being taken and distributed evenly the weight of the human body.The role of the foot is to ensure the largest depreciation while walking, run and jump.
In addition, thanks to the unique anatomical structure of the foot, the person goes in an upright position without falling to the right - left, forward and forward.Protected feet vaults are focused in two directions: transverse and longitudinal.
Thus, an adult has three points as support:
- element of large plus bones;
- Hillock Heel;
- Fifth plus bone.
Pathology occurs in young women much more often, because they wear high shoes.Visually, legs with such deformation resemble the letter "X".At the same time, bones and fingers are focused in one direction (outside), and the middle part of the foot is moved.
Thus, the development of deformity contributes:
- weakness of ligamental apparatus;
- Conference tissue diseases;
- Weight (with obesity is created an additional load on the legs leading to their deformation);
- Wearing unpleasant shoes with a high view.
Classification of pathology
Depending on the form of the curvature of the foot, the pathology can be three types:
- transverse;
- longitudinal;
- Combined.
The longitudinal installation of the foot is to move the longitudinal port of the foot.If there is a breach of walk at the same time;Pain during walking and palpation, and deformations are noticed even visually, we can discuss the longitudinal deformation of the foot.
The transverse deformation is characterized by a certain type of foot - it looks visually flattened.At the same time, the tendons of fingers are unnaturally stretched, and curvature has a hammer.Patients complain of pain when walking and injury to walking.
The combined installation of the foot combines the signs of transverse and longitudinal anomalies and is called transverse - longitudinal flat feet.Despite this, there is no pain and various inconveniences.
Deformations are classified as follows:
- Spastic - arise after muscular cramps;
- Rachitic-develops as a result of D-hypovitaminosis;
- Structural - abnormal detachment of the defective bone;
- Paralitic - the consequence of polio;
- Hyper -Corthal - appear as a result of the failed correction of club foot;
- Statistical - with the development of scoliosis and posture disorders;
- Compensatory - lack in the development of Achilles tendons, in which bones are transferred in;
- Traumatic - develop as a result of damage, bruises, dislocations and fractures;
Symptoms
As already mentioned, flat deformation straight -walgus develops against the background of innate flat feet.The symptoms of the disease depend on which part of the foot was subjected to curvature.
For example, the equal deformation is developing due to variant or equal foot.This may result from the pathology of fibula.The disease is characterized by muscular paralysis and legs and lower legs.
In the presence of "nalets", the symptoms will appear as follows:
- Bones can turn on, to crease and get sick;
- Thumb shines inward, while the same destinies are threatening other fingers, they will be deformed and bulging in the shape of a hammer;
- It is impossible to wear tight shoes or heels, and sometimes comfortable;
- Very often patients with such pathology spend shoes several sizes;
- The curvature of the thumb prevents the normal position of other fingers, bizarre bent and also bend;
- Extended walking causes pain and weight in legs;
- There are corn and corn on the soles.
Treatment of pathology
It should be said immediately that the diagnosis of the flat feet of Valgus includes a very long and complex treatment, which lasts a lot of time.It is important to diagnose the disease as soon as possible and start adequate treatment.The time in this case works against the patient, because timely treatment has received hope for the rapid elimination of the disease.
Treatment of Valgus Flatfoot includes;
- Medical physical education, which aims to correct the form of foot and strengthening muscles;
- Physiotherapy procedures;
- Wearing orthopedic shoes, inserts, supervisors;
- the use of orthopedic orthosis, breaks and other reading;
- Regular massage of lower extremities and lurbosacral - Krytsovo - gluteal place.
Planealgate steps in children
It should be noted immediately that all of the above refers to an adult with the presence of this pathology, but everything is different on the mother.
Almost all children are born with straight legs, and it is clear why.After all, the legs at the time did not experience loads and they only take the first steps when they were put on their feet.
Naturally, in that period they put their feet wrong, because they don't know how to walk.
It is therefore worth distinguishing the functional flattening of the foot and anatomical.Physiological leveling is just the phase of orthopedic development of lower extremities and is the norm.
With sufficient loads (when walking on uneven surfaces), children's deformity adjusts quickly.This usually happens in three years.In addition, up to three years to the child's solution there is a natural fat layer that covers the onions of the feet.
You can only see it if you put your child on socks.
The process of forming a port of the foot is debt, lasts several years.Therefore, speaking of anatomically properly formed rates worth not before the first of five years.However, all children are, therefore, such a process was formed earlier, and for someone later.
It depends on how physically developed and healthy, are the deviations from the development of bones - muscle system, breach of endocrine and nervous system.
But unfortunately, there are cases when flat feet become obvious pathology.
In the risk group, children who have been diagnosed in the development of muscle-bone system in the first year of life, reducing muscle tons, lags in psychomotor and obesity.The consequence of such offenses will be flat deformation of the foot.
Deviation The corner rate from the axle line of the children's orthopedic is measured in degrees.In this case, the body weight of the body is unevenly distributed to their feet and experiences a certain part of the foot of the highest load.In this case, it is the inner edge of the feet, where the shape of the longitudinal treasury should be formed.Therefore, therapists call this plane -valgus pathology.
Massage
Massage is the main method of treatment in complex therapy.It helps to relax the bone - a muscle system, improve blood circulation and the triple of the muscular device unit.Children's legs are massages in the following order:
- Just before the start of the massage, the legs are hitting;
- Hips and knees are also treated with light moves;
- The surface of the surface of the surface of the surface is knees;
- rub muscles;
- to report a child's legs with the palm;
- perform final caress.
The total massage also begins with a blow, which increases blood flow to the baby's limbs.The movements are performed from the heel to the spoteal foss.During the massage, the emphasis is placed on muscle relaxation, the baby should not be grown.
If several energies need to be made in some areas, then it should be light and vigorously at the same time.The detachers are made with the tops of his fingers.The main emphasis is on strike and shaking.
Medical physical education
Gymnastic exercises in order to treat straight feets are made on healing rugs, which should have an uneven (relief) surface.Conducting exercises on such a mat, there is simultaneously mechanical foot massage.Exercises are suitable for children of two or three years.
Exercises on the regulation:
- withdrawing from one leg to another, transmission of body weight;
- standing on one leg, other sliding movements along the rug;
- By putting hands on the belt, make circular movements with the body on one side or the other;
- Put one leg in front of another, then invent the socks and lower on the heels;
- lean on the fifth one foot and the other on the toe, simultaneously make your feet out of your fifth legs;
- Walking on the mat relying on the outer edge of the foot.
Surgical treatment
Surgical treatment for the purpose of straightfoot correction is extremely rare.The excess of your foot vault is made according to the graceful method.The defect is also corrected in adolescence, however, the arthrodese technique is used in which the style reporter of the costume feet is performed to correct the Treasury.
The most efficient option is a surgical correction of damage in a 4-5-year-old child.At this age, a fast recovery of ligaments and joints appear, as well as the bone reposition gives the best score.
Footwear selection
Eliginal deformation legs elige-valgus removes properly selected shoes.It is very important that support from the lower and side part of the foot will appear.For treatment, orthopedic shoes are selected by individual standards.It allows muscles to function normally and distribute the load on your legs evenly.Pediatricians are very useful to carry special shoes:
- lowering the load on the muscle-bone system,
- The negative consequence of deformation was eliminated,
- Normal posture and walking is formed,
- Muscles and ligamento apparatus are developing properly.
Consequences
If you do not find a leg with flat valgus in the child, then there will be serious complications that can cause disability.First of all, incorrect walking is produced, as a result, the structure of the knee and hook is disturbed.Then the spine was curved, which presses on the internal authorities and does not allow them to function normally.
Forecast and prevention
Early treatment allows you to completely resolve housing valguses.In advanced cases, in adolescence, the child will show the problems with the spine.
It is possible to prevent such a violation by performing simple gymnastics every day.Don't try to put your baby on your feet if less than 9 months old.It is worth avoiding the overload of the child's muscle-bone system.
Practical advice
As statistics show, about 40% of children with a single degree of flat foot are revealed each year during the preventional reviews of schoolchildren.Most of them are girls.Such is the prevalence due to the fact that the early phases of Valgus often pass unnoticed.
Prevention of straight feet is especially important in school years, when a child is growing intensively.
The decisive period is from 3 to 7 years: At this point, shoes are well repaired for repairing your legs and match the size.
Don't buy expensive orthopedic shoes if the diagnosis has not yet been made or the doctor did not give such a recommendation.In some cases, additional support rates can give the opposite score.