The deformation of Valgus del Pieda in children is a pathology in which the distance between the internal sides of the ankles is 4-5 cm or more during the narrow compression and the straightening of the legs.At the same time, the heel, together with the fingers, differs outside and the internal arches of the feet seem to be flooded inwards.
In the orthopedics, such a curvature of the legs is called in the shape of an X (with the varus deformation of the feet, on the contrary, there is a curvature in the shape of O).If, against the background of Valgus deformation, you notice a decrease in the height of the arches of the feet, they say that it is a deformation in a flat valley.
Generally, parents are evident for the deformation of Valgus Del Pieda in their child, when he performs seven to eight months for this period are the first at an independent walking attempts.
Classification
In medicine, three degrees of gravity of the Valgo anomaly are distinguished:
- Light.The height corner of the arch is less than 140 °, the height of the longitudinal arch of the arrest is about 15-20 mm, the valley of the back of the back of the foot is approximately 10 °, the front section of the foot is assigned by 8-10 °, the heel bone is inclined by 15 °.
- Average.The height of the arch in the second degree of deformation of the valley 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 Valgus position of the back of the foot and the abduction of the vault is not exceeding 15 °.
- Heavy (time).The height of the vault is between 0 and 5 mm, the angle of inclination of the heel is from 0 to 5 °, the corner of the vault of the arch exceeds 160-180 °, the position of the rear section and the lead of the front section is greater than 20 °.The child complains of constant pain in the joint.The serious gravity of the deformation is not susceptible to complete the correction.
There is another classification of the Valgus dei Piede deformation, which is based on the cause of the disease:
- Compensatory (caused by a shortened Achille tendon).
- Structural (due to the innate irregular position of the RAM bone).
- Spastic (it is a consequence of muscle cramps that occur due to disorders in the work of the cerebral cortex).
- Hyper corrective (caused by the illiterate treatment of the curvature of children's children).
- Rachitic (manifests itself in children with rachit).
- Paralytical (complication of encephalitis or polio).
- Traumatic (caused by a fracture of the bones of the ankle articulation, rupture of ligaments).
Causes of deformation of the valley of the feet in children
The deformation of Valgus del Pieda is congenital and acquired.In the first case, the causes of the disease are associated with the intrauterine violation of the position/form of the bones.The diagnosis is made during childhood.
The acquired form of the Valgus anomaly is not caused by the finished tendons, as well as deviations in the development of the musculoskeletal system.Generally, the diagnosis of "Valgus deformation of the stop" is made up of eight -month -old children or when a small patient is 1 year old.The deviation is often formed in weakened children with muscle hypotension.
Among the most common causes of Valgus del Pieda deformation in the child:
- not premature;
- Intrauterine hypotrophy;
- Frequent diseases with bronchitis, acute respiratory viral infections, pneumonia;
- congenital weakness of connective tissues;
- rickets;
- Ligal injuries, bones of the lower part of the leg, muscles;
- long living room in plaster;
- Obesity of children;
- Too early, fix the child to the legs;
- Wear low -quality shoes/select incorrectly.
In addition, Valgus anomaly derives accordingly:
- Cerebral paralysis;
- Poliauropathy;
- osteoporosis;
- dysplasia;
- Endocrine and genetic disorders;
- Congenital dislocation of the thigh;
- polio;
- Muscolis Dystropia.
Symptoms of Valgus deformation
The symptoms of the deformation of valgus of the foot in children include:
- While walking, the child does not trample the entire foot, but only on the inner edge (the legs are "flooded" inwards).
- The legs acquire an X -shaped shape.
- The pace becomes embarrassing.
- The child complains of the pain in the legs behind.
- In the evening a swelling of the feet is possible, cramps.
- The shoes we wear the child are torn in a non -uniform way - first of all, the internal side of the sole is consumed.
If you find similar symptoms in yourself, see a doctor immediately.It is easier to prevent the disease than to face the consequences.
Diagnostics
To make such a diagnosis as the deformation of Valgus of the stop, the traumatologist-garden-orthopedics of the doctor examines the child and prescribes a special exam:
- Podometer (the method evaluates the distribution of the load on some feet departments);
- Computer plantography (allows to calculate the morphological parameters of the feet);
- X -ray (allows you to study the changes in the position of the feet compared to the other).
In some cases additional joints of the joints are required.To exclude the connection of Valgus deformation with the diseases of the central/peripheral nervous system, the child is directed to the neurologist of a child.
How the Valgus Dei Feet Deformation is treated in children
The treatment of Valgus dei feet deformation in children aims to normalize the shape of the feet, restoring their functions, strengthening the binding and muscle apparatus.In the event of a congenital form of the disease, a child's orthopedist may prescribe the use of a plaster dressing.Conservative treatment also includes:
- Night baths.It improves muscle tone, ligaments.For the preparation of the bathroom, it is necessary to dissolve 1/3 of a cup of sea salt in 10 liters of hot water.Plant the child in the solution to life for 20 minutes.The sessions take place on alternate days.A course includes 15 procedures.Repeat the treatment every 4 months.
- Massage.The massage with the deformation of Valgus del Pieda in children is one of the most important points of treatment.It should be done by a qualified specialist.
- Mud and ozotoceros applications.
- Paraffin therapy.The paraffin envelope is made 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 part of the leg.Promotes muscle strengthening.
- Electrophoresis, magnetotherapy.
- Operating therapy.LFK with Valgo The deformation of the foot is carried out daily.The correctly selected exercises can improve the flexibility of ligaments, muscle strength, increase joint mobility, normalize the metabolism of tissues, blood circulation.
To correct the deformation of Valgus of the feet, children must wear special shoes with the fixation of the hard side of heels and feet, use individual functional sunny sun.As for sport, you can ride a bicycle with Valgus anomaly, swim.
The disease occurs to surgical treatment in extreme cases (7%) if all conservative medical measures are ineffective.Can be:
- ARTRODESI operations.Provide the immobile articulation between the bones of the heel and Tlus, due to which the muscles of the internal arc intensify.
- Surgery.The manual correction of the child's stop is performed, after which the plaster is superimposed.The sessions take place once a week.After each of them, the foot changes position.The doctor applies the plaster to the entire foot (starting from the middle third of the thigh).At the same time, the knee is bent at an angle of ninety degrees.At the last session, the doctor fixes the Tlus-Navicular joint in the right position, introducing the Kirschner knitwear needle through the skin.So wears a plaster for two months.
- Children who have undergone the treatment of Valgus of the feet with the help of surgery should always wear special orthopedic shoes that support the arches of the feet.
- Small invasive operations that change the corner between the individual bones of the foot, due to which the tension of the binding apparatus increases.
Danger
If the degree of deformation is mild, complete recovery is possible.A serious degree of deformation of Valgo is not a normal cosmetic defect.The disease causes serious functional compromised arts, which can lead to disability.
The absence of competent anomaly treatment can cause:
- flat feet;
- Constant pain in the legs;
- osteochondrosis;
- arthrosis;
- shortening the limbs;
- violation of posture (scoliosis);
- Deformation of the joints of the pelvis, ankle and knee.
Risk group
The greater risk of getting valgus deformation occurs if the parents put the child soon standing (up to 9 months), buy shoes on a low level or the size are selected incorrectly.In addition, even children suffering from Rachioni, with a genetic predisposition to curvature, are prone to the pathology.
Prevention of the Valgus Del Pieda deformation
Disease prevention includes the following points:
- You shouldn't put the child standing for a maximum of 9 months.
- I exclude the development of Rachioni (preventive assumption of vitamin D).
- Buy shoes with orthopedic sun.The background of children's boots should be 3-4 cm higher than the heel.The sole should bend well.A prerequisite is the presence of a supervisor.
- Massage your feet.
Also, you shouldn't ignore the programmed exams of an orthopedist, surgeon, neurologist.At the age of 1 month, the doctor can diagnose the presence of congenital diseases of the skeleton, in 3 and 6 months to exclude the development of the rachit, to 1 year to evaluate the volume of joint movements, the correctness of the vertebral curves, at 3 years - check the staging, the posture and measure the length of the limbs.
It is impossible to quickly recover with the diagnosis of Valgus deformation.Parents will be able to evaluate the first results not before six months after the start of conservative therapy.
This entry is published exclusively for cognitive purposes and is not a scientific material or a professional medical advice.