Deformity

Foot valgus deformity in children is a pathology in which the distance between the inner sides of the ankle is 4-5 cm or more during narrow compression and foot direction.At the same time, the heel, along with the fingers, deviates to the outside, and the inner arches of the feet appear to be flooded inside.

In orthopedics, such an leg curvature is called X -shaped (with varus deformation of the feet, on the contrary, an O shaped curvature is observed).If, against the background of valgus deformation, there is a decrease in the height of the legs of the foot, they say this is a flat-valgus deformity.

Typically, parents are visible for deforming the valgus of the foot in their child, when he performs seven to eight months-for this period are the first efforts of independent walking.If you look at the photo of flat deformity with the valgus of the legs, you may notice that the legs are bent on the knee joints, the heel "look" up, and the distance between the legs is large enough, they "autumn" inside.

ClaSSIFICaTION

In medicine, three degrees of severity of Valgus abnormality are distinguished:

• The light height angle of the arch is less than 140 °, the height of the longitudinal arc of the stop is about 15-20 mm, the position of the valgus of the back of the foot is about 10 °, the front of the foot is distributed by 8-10 °, the heel bone is bent by 15 °.
• Average the height of the arch at the second degree of valgus of the foot in children is 150-160 °, the height of the longitudinal safe is 10 mm, the heel bone is steep by 10 °, the position of the rear of the foot and the abduction of the front yolk is not more than 15 °.
• Heavy (storm of the legs).The height of the safe is from 0 to 5 mm, the corner of the chalkaneus tendency is from 0 to 5 °, the arch angle exceeds 160-180 °, the position of the rear section and the front section lead is more than 20 °.The child complains of constant pain in the joints.The severe severity of deformation is not suitable to complete the correction.

There is another classification of leg valgus deformation, which is based on the cause of the disease:

• Compensatory (caused by an abbreviated Achilles tent).
• Structural (due to the irregular innate of the dash bone).
• Spastic (is a consequence of muscle cramps that occur due to disorders in the work of the cerebral cortex).
• Correctional hyper (caused by illiterate treatment of bending children of the foot).
• Rachitic (manifested in children with rockets).
• Paralytic (complication of encephalitis or polio).
• Traumatic (caused by a fracture of the bone of the foot, rupture of the ligaments).

Causes of Valgus Foot deformity in Children

The deformation of the leg valgus is innate and acquired.In the first case, the causes of the disease are associated with intrauterine violations of the location/shape of the bone.The diagnosis is made in infancy.

The obtained form of valgus abnormality is not caused by finished tendons, as well as deviations in the development of the muscular system.Typically, the diagnosis of "stop valgus deformation" is made by a child eight months old or when a small patient is 1 year old.Deviation is most often formed in children weakened with muscle hypotension.

Among the most common causes of leg valgus deformation in the child:

• not -the support;
• Intrauterine hypotrophy;
• Frequent bronchitis diseases, acute respiratory viral infections, pneumonia;
• congenital weakness of connective tissue;
• Rike;
• damage to the ligaments, lower leg bones, muscles;
• long stay on gypsum;
• Overweight of children;
• early placement of the child standing;
• Wearing weak shoes/incorrectly selected shoes.

Also, Valgus abnormalia arises as a result:

• Cerebral palsy;
• Polneuropathy;
• osteoporosis;
• dysplasia;
• endocrine and genetic disorders;
• Congenital thigh displacement;
• Poliomyeli;
• Muscle dystrophy.

Valgus deformity symptoms

Symptoms of foot valgus deformation in children include:

• As he walks, the child does not go all over the leg, but only to his inner edge (the legs are "flooded" inside).
• The legs acquire an X -shaped shape.
• Walking becomes difficult.
• The child complains of leg pain, back.
• In the evening, a swelling of the legs is possible, cramping.
• The shoes the baby wears are unevenly chopped - first of all, the inner side of the only tired.

If you find similar symptoms in yourself, see a doctor immediately.It is easier to prevent the disease than to deal with the consequences.

Troubleshooting

To make a diagnosis such as deformation of the prohibition valgus, the traumatologist-doctor-orthopedist examines the child and determines a special examination:

• Podometry (the method estimates the load distribution in certain foot departments);
• Computer plant (allows you to calculate morphological foot parameters);
• Radiography (makes it possible to study changes in the leg position in relation to one another).

In some cases, additional ultrasound of the joints is required.To exclude the association of valgus deformity with diseases of the central/peripheral nervous system, the child is directed to a children's neurologist.

How the valgus leg deformation in children is treated

The treatment of valgus to the legs in children is aimed at normalizing the shape of the feet, restoring their functions, strengthening the ligamentous apparatus and muscles.In case of congenital form of the disease, a child's orthopedist may describe the dress of a gypsum sauce.Conservative treatment also includes:

• Night baths.Improve 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.Sow the baby in the waist solution for 20 minutes.The sessions are held every other day.A course includes 15 procedures.Repeat treatment every 4 months.
• Massage massage by deforming the valgus of the foot in children is one of the most important points of treatment.It must be done by a qualified specialist.
• Mud and ozotoceros applications.
• Paraffin therapy.Paraffin coating is made only on the foot or in the form of a boot.Heating improves blood circulation, ligaments.
• Acupuncture.
• Electric stimulation of the leg and lower leg muscles.Promotes muscle strengthening.
• Electrophoresis, magnetotherapy.
• Exercise therapy.LFK with valgus deformation of the foot is performed daily.Properly selected exercises can improve the flexibility of the ligaments, muscle strength, increase joint mobility, normalize tissue metabolism, blood circulation.

To correct the deformation of the valgus of the feet, children need to wear special shoes with strong heel and leg side fixing, use individual functional bedding.As for the sport, you can board a bike with valgus abnormalities, swim.

Surgical treatment disease in extreme cases (7%) if all conservative medical measures are ineffective.May be:

• Arthrodesis operations.Provide the stationary joint between the heels and the talus bone, due to which the inner arc muscles intensify.
• Surgical intervention.Manual correction of child prohibition is performed, after which the gypsum is overlapped.The sessions are held once a week.After each of them, the foot changes its position.The doctor applies gypsum across the leg (starting from the third thigh third).At the same time, the knee is bent at an angle of ninety degrees.At the last session, the doctor adjusts the talus-navicular joint in the right position, presenting the Kirschner knit needle through the skin.Then he dresses gypsum for two months.
• Children who have undergone leg valgus deformity treatment with the help of surgery should always wear special orthopedic shoes that support the legs of the foot.
• Small invasive operations that change the angle between the individual bones of the foot, due to which the tension of the ligamentous apparatus increases.

risk

If the deformation rate is mild, a complete recovery is possible.A severe degree of valgus deformation is not a common cosmetic defect.The disease causes serious functional limbs, which can lead to disability.

Lack of competent treatment of abnormality can cause:

• flat feet;
• constant leg pain;
• osteochondrosis;
• arthritis;
• shortening the limbs;
• violation of residence (scoliosis);
• Deformation of the pelvis, ankle and knee joints.

Risk group

The greatest risk of getting sick with valgus deformation occurs if parents put their child early on their feet (up to 9 months), buy him weak quality or size shoes is mistakenly selected.Also, babies suffering from rickets, who have a genetic predisposition to bending, are also prone to pathology.

Prevention of foot valgus deformation

Prevention of the disease includes the following points:

• You should not put the baby standing up to 9 months.
• Exclude the development of rickets (preventive intake of vitamin D).
• Buy orthopedic bedding shoes.The backdrop of children's boots should be 3-4 cm higher than the heel.The only one has to bend well.One prerequisite is the presence of a supervisor.
• Massage your feet.

Also, you should not ignore the planned examinations of an orthopedist, surgeon, neurologist.At 1 month, the doctor can diagnose the presence of congenital skeletal diseases, at 3 and 6 months to exclude the development of rickets, in 1 year to evaluate the volume of common movements, the correctness of vertebral curves, in 3 years - check the staging, behavior and to measure the length of the limbs.

It is impossible to recover quickly with the diagnosis of valgus deformation.Parents will be able to evaluate the first results no earlier than six months after the start of conservative therapy.

This article has been exclusively posted for cognitive purposes and is not a scientific medical material or a professional medical council.