The deformation of the feet valge in children is a pathology in which the distance between the internal sides of the ankles is 4-5 cm or more during tight compression and the straightening of the legs.At the same time, the heel, together with the fingers, deviates outside, and the internal arches of the feet seem to flood inward.
In orthopedics, such a curvature of the legs is called X -shaped (with varus deformation of the feet, on the contrary, a curvature is observed in the form of a).If, at the bottom of the deformation of Valgus, there is a decrease in the height of the arches of the feet, they say that this is a deformation of flat diapers.
In general, parents are notable for the deformation of the feet of their son, when he performs seven to eight months, for this period, there are the first independent walk attempts.If you look at the photo of the deformation of the flat values of the feet, you can notice that the legs are bent in the knee joints, the "look up" the talles and the distance between the feet is quite large, "fall" inside the legs. "
Classification
In medicine, three grades of the Valgus anomaly are distinguished:
- Light.The angle of arc height is less than 140 °, the height of the longitudinal arc of the stop is approximately 15-20 mm, the valge position of the back of the foot is approximately 10 °, the front section of the foot is assigned to 8-10 °, the heel bone is inclined by 15 °.
- Average.The height of the arc in the second degree of deformation of the feet of the foot in children is 150-160 °, the height of the longitudinal vault is 10 mm, the heel bone is inclined by 10 °, the position of valge of the back of the foot and the abduction of the frontal vault is not more than 15 °.
- Heavy (storm).The height of the vault is 0 to 5 mm, the angle of inclination of the calcaneus is from 0 to 5 °, the angle of the arc vault exceeds 160-180 °, the position of the rear section and the front section cable is more than 20 °.The child complains of constant pain in the joint.The severe gravity of the deformation is not susceptible to complete the correction.
There is another classification of the deformation of the feet valge, which is based on the cause of the disease:
- Compensatory (caused by a shortened Achilles tendon).
- Structural (due to the innate irregular position of the RAM bone).
- Spastic (it is a consequence of the muscle cramps that occur due to disorders in the work of the cerebral cortex).
- Hyper correctional (caused by the illiterate treatment of the curvature of the children of the foot).
- Rachitic (manifests itself in children with rickets).
- Paralytic (complication of encephalitis or polio).
- Traumatic (caused by a fracture of the bones of the ankle joint, rupture of the ligaments).
Causes of feet valge deformation in children
The deformation of the feet is congenital and acquired.In the first case, the causes of the disease are associated with the intrauterine violation of the location/shape of the bones.The diagnosis is made in childhood.
The acquired form of the Valgus anomaly is not caused by the final tendons, as well as deviations in the development of the musculoskeletal system.Typically, the diagnosis of "deformation of the stop valge" is performed by eight -month -old children or when a small patient has 1 year.The deviation is formed more frequently in weakened children with muscle hypotension.
Among the most common causes of the deformation of the feet of the child:
- not premature;
- intrauterine hypotrophy;
- Frequent diseases with bronchitis, acute respiratory viral infections, pneumonia;
- Congenital weakness of connective tissues;
- rickets;
- Ligament lesions, bones from the bottom of the leg, muscles;
- long stay in the plaster;
- Obesity of children;
- Too early place the child on the legs;
- Wear poor quality/selected shoes incorrectly.
In addition, Valgus's anomaly arises as a result:
- Cerebral palsy;
- polyneuropathy;
- osteoporosis;
- dysplasia;
- endocrine and genetic disorders;
- Congenital dislocation of the thigh;
- polio;
- Muscularis dystrophy.
Valgo deformation symptoms
The symptoms of the deformation of Valgo del Pie in children include:
- While walking, the child does not step on the foot, but only on its inner edge (the legs are "flooded" inward).
- The legs acquire an X -shaped shape.
- The march becomes uncomfortable.
- The child complains with pain in the legs, behind.
- At night, a swelling of the feet, cramps.
- The shoes that the child uses to tear unequally, first, the inner side of the sole is wearing up.
If you find similar symptoms in yourself, consult a doctor immediately.It is easier to prevent the disease than to deal with the consequences.
Diagnosis
To make a diagnosis such as the deformation of Valgus de la Parada, Dr. Traumatologist-OrtoPepedista examines the child and prescribes a special exam:
- Podometra (the method evaluates the distribution of the load in certain feet departments);
- Computer planning (allows you to calculate the morphological parameters of the feet);
- Radiography (allows to study changes in the position of the feet with each other).
In some cases, additional ultrasound of the joints is required.To exclude the connection of the deformation of the valgo with diseases of the central/peripheral nervous system, the child is directed to a child neurologist.
How is the deformation of the feet worth in children treated
The treatment of the feet valge deformation in children aims to normalize the shape of the feet, restore their functions, strengthen the ligament and muscle apparatus.In case of congenital form of the disease, a child's orthopedist can prescribe the use of a dressing for plaster.Conservative treatment also includes:
- Night bathrooms.Improve muscle tone, ligaments.For bathing, it is necessary to dissolve 1/3 cup of sea salt in 10 liters of warm water.Raise the child in the solution to the waist for 20 minutes.The sessions are held every two days.A course includes 15 procedures.Repeat the treatment every 4 months.
- Massage.Massage with the deformation of Valgo del Pie in children is one of the most important treatment points.It must be performed by a qualified specialist.
- Mud and ozoceros applications.
- Paraffin therapy.The paraffin wrap is performed only on the foot or in the form of a boot.Heating improves blood circulation, ligaments.
- Acupuncture.
- Electrical stimulation of the foot muscles and the lower leg.Promotes muscle strengthening.
- Electrophoresis, Magnetotherapy.
- Exercise therapy.LFK with the deformation of Valgo del Pie is carried out daily.Properly selected exercises can improve the flexibility of ligaments, muscle strength, increase joint mobility, normalize tissue metabolism, blood circulation.
To correct the deformation of the feet valge, children must wear special shoes with lateral fixing of the heels and feet, wear individual functional templates.As for sports, you can ride a bike with Valgo anomaly, swim.
The disease resorts to surgical treatment in extreme cases (7%) if all conservative medical measures are ineffective.Could be:
- Arthrodesis operations.Provide the immobile joint between heel bones and astragalus, because the muscles of the internal arch intensify.
- Surgical intervention.The manual correction of the child's stop is carried out, after which the plaster is superimposed.The sessions are held once a week.After each of them, the foot changes its position.The doctor applies the plaster to the whole foot (from the middle third of the thigh).At the same time, the knee bends at an angle of ninety degrees.In the last session, the Doctor sets the-Talusa-Nicular joint in the correct position, introducing the Kirschner knit needle through the skin.Then we dress in plaster for two months.
- Children who have undergone the treatment of feet valge with the help of surgery should always wear special orthopedic shoes that support the arches of the feet.
- Small invasive operations that change the angle between the individual bones of the foot, because it increases the voltage of the ligament apparatus.
Danger
If the degree of deformation is mild, a complete recovery is possible.A serious degree of valgo deformation is not an ordinary cosmetic defect.The disease causes serious limbs of functional disability, which can lead to disability.
The absence of competent treatment of anomaly can cause:
- flat feet;
- constant leg pain;
- osteochondrosis;
- osteoarthritis;
- recorting of the limbs;
- Posture violation (scoliosis);
- Deformation of the pelvis joints, ankle and knee.
Risk group
The greatest risk of getting sick with the deformation of the valgo occurs if the parents put on the early child (up to 9 months), buy poor quality shoes or size are selected incorrectly.In addition, babies suffering from rickets, who have a genetic predisposition to curvature, are also prone to pathology.
Prevention of the deformation of the foot valgo
Disease prevention includes the following points:
- You should not put the child standing for up to 9 months.
- It excludes the development of rackets (preventive intake of vitamin D).
- Buy shoes with orthopedic templates.The backdrop of the children's boots must be 3-4 cm higher than the heel.The sole should bend well.A previous requirement is the presence of a supervisor.
- Massage the feet.
In addition, you should not ignore the programmed exams of an orthopedist, surgeon, neurologist.At the age of 1, the doctor can diagnose the presence of congenital skeleton diseases, in 3 and 6 months to exclude the development of rickets, 1 year to evaluate the volume of joint movements, the correction of the vertebral curves, at 3 years: verify the staging, the posture and measure the length of the limits.
It is impossible to recover quickly with the deformation diagnosis of the valge.Parents can evaluate the first results not before six months after the start of conservative therapy.
This article is published exclusively for cognitive purposes and is not a medical material or a professional medical advice.