Valvular deformation of children's feet is a pathology in which the medial distance of the ankle is 4-5 cm or more during tight compression and straightening.Meanwhile, the heel and fingers are tilted outward, and the inner arch of the foot seems to be flooded inward.
In orthopedics, the curvature of this leg is called X-shaped (in contrast, foot deformation of the foot deformation, O-shaped curvature is observed).If the height of the foot arch is noticed against the background of the shell deformation, they say it is a flat deformation.
Usually, parents are evident when their child’s feet are deformed outwardly, and when he is seven to eight months during this period, the first attempt to walk independently enters.If you look at the photo of the flat Volgus of your feet, you can notice that the legs are bent in the knee joint, the feet on the feet are bent, the steps are up, the distance between the feet is very large, they are very large, they are very large.
Classification
In medicine, three severity valgus abnormalities are distinguished:
- Light.The height angle of the arch is less than 140°, the height of the stopped longitudinal arch is about 15-20 mm, the valgus position at the back of the foot is about 10°, the front part of the foot is 8-10°, and the bones of the heel bone are inclined by 15°.
- Average.The arch height of the foot in the second degree of lateral deformation of the child's feet is 150-160°, the height of the longitudinal arch is 10 mm, the heel bone is inclined by 10° 10°, the appearance position of the back of the foot, and the lateral position of the front library does not exceed 15°.
- Heavy (steps).The height of the vault is 0 to 5 mm, the inclination angle of the calcane is 0 to 5°, the angle of the vault is more than 160-180°, and the position of the rear and the position of the lead at the front is greater than 20°.The child complains about the continuous pain in the joints.Severe deformation severity cannot be fully corrected.
There is another classification of valgus deformation of the foot, which is based on the causes of disease:
- Compensatory (caused by shortening of the Achilles tendon).
- Structure (due to the innate irregular position of Ram bone).
- Spasm (a result of muscle spasms caused by diseases in the work of the cerebral cortex).
- Corrective super (caused by illiterate treatment for flexor feet in children).
- rachitic (expressed in children with ricks).
- Paralysis (complications of encephalitis or polio).
- Traumatic (caused by fracture of the skeleton of the ankle joint, ligament rupture).
Causes of deformity in children's feet
The valgus deformation of the foot is congenital and is acquired.In the first case, the cause of the disease is related to the location/shape of the bone violation in the uterus.The diagnosis is in infancy.
The obtained valgus abnormal forms are not caused by deviations in the development of the tendon and musculoskeletal system.Typically, a diagnosis of "valgus deformation of parking" is performed by an eight-month-old child or a young patient when he is 1 year old.Bias usually form in weak children with low muscle blood pressure.
One of the most common causes of valgus deformity in children:
- Not honest;
- Intrauterine atrophy;
- Often suffer from bronchitis, acute respiratory virus infection, pneumonia disease;
- congenital weaknesses in connective tissue;
- rickets;
- Ligament damage, bones in the lower leg, muscles;
- Gypsum long-term accommodation;
- Childhood obesity;
- Put the child on his legs too early;
- Wear poor quality/wrongly selected shoes.
In addition, the result of an exception is:
- Cerebral palsy;
- Multiple neurotic;
- osteoporosis;
- dysplasia;
- endocrine and genetic diseases;
- Congenital dislocation of the thigh;
- polio;
- Muscle development.
Symptoms of valgus deformity
Symptoms of children's foot deformity include:
- When walking, the child does not step on the entire foot, but can only be on its inner edge (the legs are "overwhelmed").
- Legs get X shape.
- The gait became awkward.
- The child complains about leg pain.
- At night, swelling of the feet is possible.
- The shoes that children wear are tear unevenly - first, the inner side of the sole is worn.
If you notice similar symptoms yourself, see your doctor immediately.Preventing diseases is easier than dealing with consequences.
diagnosis
To make a diagnosis, such as valgus deformation of parking, the traumaist - doctor examines the child and gives him a special examination:
- Podometre (this method evaluates the load distribution in certain parts of the foot);
- Computer Botany (allows you to calculate the morphological parameters of your feet);
- Radiography (makes possible the change in position of the study feet relative to each other).
In some cases, additional joint ultrasound is required.To rule out the link between peripheral deformation and central/peripheral neurological disease, the child was pointed to a pediatric neurologist.
How to treat valgus deformation of children's feet
Treatment of deformed exudation of children's feet is designed to normalize the shape of the foot, restore its function, and enhance ligaments and muscle devices.If there is a congenital form of disease, a pediatric orthopedic doctor can prescribe a prescription to wear plaster seasoning.Conservative treatment also includes:
- Take a bath at night.Improves muscle tone, ligaments.To prepare the bathtub, it is necessary to dissolve 1/3 cup of sea salt in 10 liters of warm water.Place the child in the waist solution for 20 minutes.Meetings are held every other day.A course consists of 15 programs.Repeat treatment every 4 months.
- massage.Massage of children's feet being deformed outside their feet is one of the most important treatment points.It should be done by qualified experts.
- Application of mud and ozone agents.
- Paraffin treatment.Paraffin wrap is made only in the form of feet or boots.Heating can improve blood circulation and ligaments.
- acupuncture.
- Electrical stimulation to the muscles of the feet and lower legs.Promotes muscle strengthening.
- Electrophoresis, magnetic therapy.
- Exercise therapy.LFK performs LFK with outward deformation every day.Correctly selected exercises can improve the flexibility, muscle strength of the ligament, increase joint mobility, and normal tissue metabolism and blood circulation.
To correct extroverted deformation of the feet, children must wear special shoes, fix the heel and hard side of the feet, using a single functional insole.As for exercise, you can ride a bike with abnormal going out and swim.
If all conservative medical measures are ineffective, the disease is resorted to surgical treatment in extreme cases (7%).may be:
- Joint fixation operation.Provides a moving joint between the heel and the bone, so the muscles of the inner arch are strengthened.
- Surgical intervention.The manual correction that the child stopped was corrected and the gypsum was superimposed.Meetings are held once a week.After each, the foot changes its position.The doctor applied the cast across his feet (starting from one third of the middle thigh).Meanwhile, the knees bent at an angle of ninety degrees.In the last class, the doctor fixed the distance position at the right position and passed the Kirschner knitting needle through the skin.Then he wore plaster clothes for two months.
- Children who have been surgically helped to treat foot deformities should always wear special orthopedic shoes to support the arch of the foot.
- The small invasive surgery changes the angle between the various bones of the foot, so the tension of the ligament increases.
Danger
If the degree of deformation is mild, it can be fully recovered.Severe valgus deformation is not an ordinary cosmetic defect.The disease can lead to severe functional impairment of the limbs, which can lead to disability.
Lack of treatment with supervisor abnormalities may lead to:
- Flat feet
- Continuous pain in the legs;
- Osteochondrosis;
- joint;
- Shorten limbs;
- Violation of posture (scoliosis);
- Deformation of the pelvis, ankle and knee joints.
Risk Group
If the parents stand up early (up to 9 months), buy him bad shoes or the size is incorrect, the greatest risk of tilting and deformation will occur.In addition, infants with rick mice have genetic susceptibility to bending and are also prone to illness.
Prevent feet from turning outward and deforming
Disease prevention includes the following points:
- You should not place your child on his feet for up to 9 months.
- Exclude development of rickson (preventive intake of vitamin D).
- Buy shoes with orthopedic insoles.The background of children's boots should be 3-4 cm taller than the heel.The soles should be curved very well.The prerequisite is the presence of the supervisor.
- Massage feet.
Also, you should not ignore the scheduled examinations from orthopedics, surgeons, neurologists.At 1 month, doctors can diagnose the presence of congenital diseases of the bone within 3 and 6 months to rule out the development of Rickets to evaluate the volume of joint movement, the correctness of vertebrae, the correctness of vertebrae, 3 years - check the stage, posture, posture, and measure the length of the limb.
By diagnosing valgus deformation, it is impossible to recover quickly.Parents will be able to evaluate the first outcome six months after the onset of conservative treatment.
This article is published for cognitive purposes only and is not a scientific material or a professional medical committee.