Parents must pay great attention to the physical development of their children to adjust the deficiencies over time.Deformation of foot valgus in children is a frequent pathology.Although defects are congenital or acquired, diagnosis, prevention and correction methods are similar.
What is the leg valgus and flat-valgus
The term Doctor Valgus marks any curvature of the joints in the conditional midline (axis), where a significant "X" deviation can be seen.The most significant example of pathology is the bone in the thumb (Hallux Valgus).Valgus deformation, which is abandoned as the "Valgus Foot" (Sun) is the wrong foot setting on horizontal support.If a one -year -old baby puts his feet together, then his back looks like an inner ankle turns to the opposite member, and the heel deviates outside.At the same time, a flat child depends primarily on the inside (medial) leg.Therefore, the plantar region, like, "looks".The various diseases are flat-valgus (PVS) feet.It combines flat feet with X -shaped curvature. In the baby, in addition to the deformation formation, the foot set is gradually flat.
The level of curvature of valgus
The level of pathological neglect is determined by the size of the angle of the heel deviation from the median axis.
There are 4 degrees of disease:
- I - up to 15 °;
- II - 15─19 °;
- III - 20─29 °;
- IV - 30 ° or more.
1-2 Valgus deformation stages can be eliminated by conservative methods.With 3 degrees, prolonged treatment is required.In 4 stages, surgical correction may be required.
The cause of deformation
There are three factors, as a result there are foot curvature: intrauterine development, chronic physical advantages, musculoskeletal system disease.These factors weaken the ligaments, tendons, muscles, so the feet are not prescribed by them in normal anatomical positions.
The reasons for the valgus, the flat-valgus flat obtained (Code M21.0 in ICD-10):
- Premature settings on the feet, when the baby's joints are not ready for the load;
- "Wrong" shoes (narrow blocks with thin heels, without supiners).
- muscle hypotension, congenital myodistrophy;
- large weight, obesity;
- ricket;
- neuromuscular diseases (polio, paralysis of children, polyneuropathy of various etiology);
- congenital dehydration of the thighs and hip joint displacements;
- trauma to the foot or lower leg;
- Long foot immobilization with gypsum, tutor or freik pillow.
Congenital origin of valgus defects and flat-valgus foot structure (code Q66.6 in ICD-10) may be due to stomach injury transferred by pregnant women, or genetic diseases.Such curvature can be seen shortly after birth, sometimes it shows itself before the baby starts to walk.
How to determine the deformation of a stop
Changes in the lower limb configuration are set along the foot axis.This is the name of the conventional line, which is visually drawn from the center of the hip joint through the knee, ankle to the center of the calcaneus.The norm implies the axis passage through the center of the joints that cannot be transferred from the right or left.
Character -feature features
In newborns, with the nature of valgus, it is found immediately or in the first months of life.Often, the signs of valgus defects in children appear after a year and a half.The presence of the disease can be suspected by the behavior and style of the baby.Often, the common symptoms of the following pathology are found:
- increased flexibility of small joints;
- decrease in single set height;
- The transfer of the center of gravity (while trying to walk, the child depends only on the medial side of the foot, the outer edge can rise slightly);
- Not sure, Shuffling Gait;
- Rapid physical fatigue, the need to relax, give the baby a rest;
- Permanent complaints about pain in the feet, reluctance to walk;
- swelling of light and redness of the skin in the feet and ankles;
- Uneven shoe clothing, more expressed from a single interior edge.
Methodology to identify deformation
Disability diagnostic methods include examination with orthopedic baby's legs, followed by the baby's direction for instrumental examination.He became X -Ray foot in three projections to find out the level of bone displacement.They also run the planetography to determine the height of the spirit and the level of flat feet.Using the post -meter, the pressure center at one is calculated.This is an effective diagnostic method, as it allows you to identify valgus deformation in the early stages.Sometimes, to explain the results of the examination, the ultrasound of the foot is made.The pathological visual signs are one, slightly turned and raised in the side, heel displacement, out of the midline.With the deformation of the flat-valgus, the loss of the safe, the foot level is observed.To exclude the causes of neurological defects, orthopedists direct the children to a narrow specialist.
Correction method
To get rid of valgus, the main tasks are to give the right foot and strengthen the ligaments attached to the heel and muscle tendons.
Setting joints by conservative way
With natural defects, gypsum dressings or tutors are used.The purpose of the rigid setting of the foot in the right angle is to eliminate curvature with immobilization.Although ossification is not finished, the fabric is elastic, so they are easily accepted with such corrections.With valgus defects obtained, to restore proper foot settings, orthopedic shoes are made to children.It cannot cause discomfort when used.Special shoe insole has a side staining supercinator, soft pillow (pelot) under the footbox.Such shoes are also recommended for use during recovery after surgery and to unify the treatment results.
Multiple Insoles with Valgus' feet
Experts recommend ordering orthoses, shoes or insoles for children in orthopedic salons according to the size of the individual and the actor.The price of the product will be slightly higher, but its use will provide a more significant results.
Strengthening a small joint
For general hardening and lower leg tonic muscles, it is recommended to use different foot baths.For this, the feet are dipped in a container with cold and hot water.They start at 36 ° C with liquid, so this value is changed weekly to 1 ° C. Gradually lead to the range from 14 to 40 ° C.
It is useful for doing the following exercises:
- Alternatives walking on socks, heels, inner, single outer edges;
- collect small objects, hold cloth or paper, draw with toes;
- Sking a single ball on the floor;
- a set of exercises for the fingers (bending, breeding and closing);
- Walking on gravel and uneven surfaces.
Orthopedist can prescribe a lumbar spine massage course, which is influenced by lower or second leg members.It is optimal to perform it after heating with paraffin or ozokokitic applications.The inner surface of the foot acts by the movement of the tonic massage (patting, kneading).The outer surface of the foot should be massaged with relaxing techniques - rubbing, rubbing.
Physiotherapy procedure
If the foot deformation causes inflammation of the articular structure, muscle tendons, children are prescribed electrophoresis with painkillers and anti -anti -inflammatory drugs, magnetotherapy, black candle applications, paraffin, and therapeutic mud.For selected muscle stimulation, the current is used.
Surgical
In the early days of children, radical therapy methods were not used.But if the defect is interrupting normal, surgery is performed on small children.During surgical intervention, doctors use metal elements (titanium wires, screws, plates) fix defective joints in normal position.The surgeon can also strengthen the joints by moving the fibula tendon or extending the Achilles tendon.After this operation, recovery includes the use of orthopedic products, massage, physiotherapy, and physiotherapy training.
Precaution
To avoid deformation of foot valgus, you need to buy children's shoes that match the size of the foot, the anatomical structure of the foot.How to Choose - Watch E.O. suggestions.Komarovsky in the video.Doctors say about the disease that this is a frequent violation of children and helps to properly form feet to form up to 12 years.Adolescents are most likely to need surgery to correct clear foot defects.The children should walk barefoot on sand, grass, many walking, eat completely.The dosage of the sun prevents the rickets in children, which is one of the causes of the disease.Physical education, body hardening, common courses in general strengthening.Gymnastics for foot muscles are also important, including the creation of foot patterns in the sand.Active, swimming games also contribute to strengthening the muscles and lower leg ligaments.All of these steps prevent the development of foot defects.It is forbidden to wear children's feet up to 7.5 gra p .8 months, when the joints and lower bones have not been strengthened.It is not acceptable to release an examination designed by a pediatrician and a narrow specialist, which allows you to identify the pathology in the early stages.
The doctor's answer to the parent's question
How do I warn of congenital valgus deformation?Unfortunately, the vice -evaluation of the musculoskeletal system was unacceptable.Although they do not find any deviation in the hospital, the baby should always be examined by a pediatric specialist, receiving a massage, walking barefoot on an uneven, but safe surface for the feet.At home, it is advisable to use a massage carpet.The acquisition of high quality shoes also helps put the feet in the right position, to form a set of physiological heights.Such prevention will stop the development of congenital valgus legs.
Which doctor treats the pathology?
If necessary, pediatricians direct the baby to the orthopedic of children, traumatologists, surgeons.
What is a variety of feet?
Varus deviation is a displacement of the heel in the middle line.In this case, the foot set is very high, and the pressure center is moved to a single outer edge.Defects are treated in the same method as the deformation of the valgus, only the angle of the deviation is adjusted from the other side.
Valgus foot renovations on children: Consequences and corrections
The deformation of the foot valgus is a pathological change in the musculoskeletal system, where the height of the foot set decreases, and the lower foot axis shifts.
These defects may be congenital or develop in childhood, leading to flat feet, posture violations and other health problems.As a rule, it is coordinated conservatively, during long therapy with charging, massage, physiotherapy.With regular work on deformation, you can achieve proper foot fixation and confident walking.
Deformation
This foot defect can be recognized by the following external signs:
- The feet are filled with inner ribs, children are located on the inside of the feet;
- Heels and fingers are deployed outside;
- The middle part of the flat or feeling lowered;
- When the knees are reduced, the feet acquire IX-Brow shape, the feet do not accumulate together, between them distance about 4-5 cm permanent;
- Uncertain, chaos, children are often trapped, shuffles;
- The children are tired quickly walking.
When can the disability be real?
The foot gate began to form from the time the baby tried to take the first step.For infants, flat feet are considered norms.When taking a vertical position freely, children develop the musculoskeletal system, "familiarize" it into new functions.Bones and ligaments begin to experience loads, reinforced feet and take the right form of anatomy.This usually takes up to 1.5 years.If in this age, the vault remains flat, no bend is formed, the doctor determines this as a deformation of the leg valgus.As a rule, violations are detected in medical examinations, but if parents are independent of the above marks, you should contact the orthopedic immediately.If you start adjustments as early as possible, recovery is faster and less serious.
Conclusion
Parents need to devote maximum time for the prevention of defects in the physical development of the baby, including gymnastics, massage courses and other recreational activities.If the deformation of the foot valgus in the child is not eliminated by conservative treatment, then you need to agree with the surgical intervention to correct the foot shape.After all, sophisticated pathology is full of arthrosis, spinal disease, and shortening of limbs.