The Valgus deformation of children in children is a pathology in which the distance between the inner edges of the ankle is 4-5 cm or more during tight compression and straightening the legs.At the same time, heels, along with the fingers, skewed outside, and the inner arches of the foot seemed to be flooded inside.
In orthopedic, a curvature of the foot is called such X image (with deformed varus of the foot, on the contrary, an O -shaped curvature is observed).If, on the background of Valgus deformation, the height of the foot arches is recorded, they say this is a flat Valgus deformation.
Parents are noticeable for the Valgus deformation of their feet in their children, when he made seven to eight months-during this period, the first efforts of independent walking are staying.
Classify
In medicine, three severe levels of Valgus abnormalities are distinguished:
- Light.The angle of the height of the arch is below 140 °, the height of the vertical arch of the stop is about 15-20 mm, the Valgus position of the back of the foot is about 10 °, the front part of the foot is allocated 8-10 °, the heel bone is tilted 15 °.
- Medium.The height of the dome at the second level of the Valgus deformation of the foot in children is 150-160 °, the height of the tunnel is 10 mm, the heel bone is inclined 10 °, the Valgus position of the back of the foot and the kidnapping of the front of the front of the front not exceeding 15 °.
- Heavy (storm).The height of the tunnel is from 0 to 5 mm, the inclined angle of Calcaneus is from 0 to 5 °, the angle of the arch of the arch exceeds 160-180 °, the position of the back and wire of the front is more than 20 °.The child complains about continuous pain in the joints.The severity of deformation is not fully adjusted.
There is another classification of Valgus deformation of the foot, based on the cause of the disease:
- Compensation (caused by a shortened Achilles tendon).
- Structure (due to the innate position of RAM bone).
- Living (the consequence of muscle cramps occurs due to disorders in the work of the cerebral cortex).
- Hyper repaired (caused by unknown treatment for children's curvature).
- Rachitic (manifested in children with rickets).
- Paralysis (complications of encephalitis or polio).
- Injury (caused by ankle -fractured, ligament -broken bone fractures).
Causes of Valgus deformation of children in children
The Valgus deformation of the foot is innate and obtained.In the first case, the causes of the disease are related to the infringement of the uterus of the position/shape of the bone.The diagnosis is performed in the water period.
The form of Valgus anomalies is not due to the ends, as well as deviations in the development of the musculoskeletal system.Typically, the Valgus deformation diagnosis of Stop's valgus is performed by an eight -month -old children or when a patient is 1 year old.The deviation is usually formed in children weakening with muscle hypotension.
Among the most common causes of Valgus deformation of the feet in children:
- non -righteous;
- Uterine hypotrophy;
- Diseases often have bronchitis, acute respiratory virus infection, pneumonia;
- Congenital weaknesses of connective tissues;
- Abandon optical;
- Ligament injury, bones of lower legs, muscles;
- Stay in plaster;
- Child obesity;
- Too soon to put the baby on the legs;
- Wearing poor quality/chosen shoes is incorrect.
In addition, the result is the abnormality of Valgus arising:
- Cerebral palsy;
- polyneuropathy;
- osteoporosis;
- dysplasia;
- endocrine and genetic disorders;
- congenital thigh dislocations;
- Polio;
- Muscle dystrophia.
Valgus deformation symptoms
Symptoms of Valgus deformation of children in children include:
- While walking, the child does not step up the entire feet, but only on its inside (the feet are flooded inside).
- The leg has a shape X.
- Gaid became awkward.
- The child complained about the pain in his leg and back.
- In the evening, a leg swelling is possible, cramps.
- The shoes that the child wears are irregularly torn - first, the inside of the only wear.
If you find the same symptoms in yourself, see your doctor immediately.It is easier to prevent the disease rather than dealing with the consequences.
Diagnose
In order to make a diagnosis such as the Valgus deformation of the stop, the official-traumatic doctors who checked the child and stipulated a special test for him:
- Podometre (method of evaluating load distribution on certain parts of the foot);
- Computer plants (allowing you to calculate the morphological parameters of the foot);
- X -ray (making it possible to study changes in the position of the foot compared to each other).
In some cases, the additional ultrasound of joints is required.To eliminate the connection of Valgus deformation to the diseases of the central/peripheral nervous system, the child is transferred to the child's neurologist.
How to deform the Valgus of the foot in children is treated
The treatment of Valgus deformation of children in children is for the purpose of normalizing the shape of the foot, restoring their functions, strengthening the ligament and muscular device.In case of congenital form, orthopedic doctor of children can prescribe plaster clothes.Conservative treatment also includes:
- Bathroom at night.Improve muscle tone, ligament.For the preparation of the bath, it is necessary to dissolve 1/3 of the sea salt in 10 liters of warm water.Plant children in the solution to the waist for 20 minutes.The session is held every day.A course includes 15 procedures.Repeat treatment every 4 months.
- Massage.Massage with Valgus deformation of children in children is one of the most important treatment points.It should be done by a qualified expert.
- Mud and ozotoceros applications.
- Parafin therapy.Parafin wrap is only performed on the foot or in the form of boot.Heat improves blood circulation, ligament.
- Acupuncture.
- Stimulate the electrical muscles of the foot and lower legs.Promote muscle strengthening.
- Electricity, from chemotherapy.
- Exercise therapy.LFK with Valgus deformation of the foot is done daily.Properly selected exercises can improve the flexibility of the ligament, muscle strength, increase the ability to move joints, normalize tissue metabolism, blood circulation.
To adjust the Valgus deformation of the feet, children must wear special shoes with the hard side of the heel and foot, using individual functional soles.For sports, you can ride a bicycle with the abnormalities of Valgus, swim.
The disease is used for surgical treatment in extremist cases (7%) if all conservative medical measures are ineffective.It may be:
- Arthrodesis activity.Provides motionless joints between heels and talus bones, so the muscles of the inner arch are enhanced.
- Surgical intervention.The manual adjustment of the child's stop is done, then the plaster is overlapped.The sessions are held once a week.After each of them, the foot changes its position.The doctor applies plaster to the entire foot (starting from the third between the thigh).At the same time, the knee is bent at a ninety degrees.At the last session, the doctor repaired Talus-Navicular joints in the right position, introducing Kirschner Kim Dan Kirschner.After that, he dressed in plaster for two months.
- Children have undergone the treatment of deformity of the foot of the foot with the help of surgery to always wear special orthopedic shoes to support the feet arches.
- Small invasive activities change the angle between the individual bones of the foot, so the tension of the ligament movement increases.
Danger
If the deformation level is light, the ability to recover completely is possible.A seriousness of Valgus deformation is not a common cosmetic defect.The disease causes serious functional limbs, which can lead to defects.
The absence of competent abnormal treatment may cause:
- Flat feet;
- Continuous pain in the legs;
- Osteochondrosis;
- Arthrosis;
- shorten limbs;
- Breach of posture (scoliosis);
- Deformation of pelvis, ankles and knee joints.
Risk group
The biggest risk when having Valgus deformation occurs if parents put the child early on their feet (up to 9 months), buy him poor shoes or the size selected inaccurate.In addition, babies have rickets, tend to be inherited to curvature, also prone to pathology.
Prevention of Valgus deformation of the foot
The disease prevention includes the following points:
- You should not put the baby on your feet up to 9 months.
- Eliminate the growth of rickets (the amount of vitamin D).
- Buy shoes with orthopedic soles.The context of the children's shoes must be 3-4 cm higher than the heel.The base should bend well.A prerequisite is the presence of the supervisor.
- Massage legs.
In addition, you should not miss the scheduled exams of an orthopedic doctor, surgeon, neuroscientist.At the age of 1 month, the doctor may diagnose the presence of congenital diseases of the skeleton, for 3 and 6 months to eliminate the development of rickets, after 1 year to assess the amount of joint movement, the accuracy of the vertebra bend, after 3 years - check the resolution, posture and measure the length of the limp.
It is impossible to quickly recover with Valgus deformation diagnosis.Parents will be able to evaluate the first result not earlier than six months after the beginning of conservative treatment.
This article is exclusively posted for cognitive purposes and is not a scientific document or professional health council.