Parents must pay great attention to the physical development of their children to adjust the shortcomings on time.Valgus foot deformation in children is common pathology.Although the injury of innate or acquired, diagnosis, prevention and correction methods are similar.
What is valgus and flat valgus feet
The pharmacies of Valgus indicate any curvature from the inside of the parenthesis (axis) of the X. The most pronounced of the pathology, which is shortened as "walgus feet" (sun) is the wrong foot setting on horizontal support. If one children'sKids put on their feet, then the back of the ankle moved closer to the opposite Udo, and the Fifth Party relies on the inner (medial) of the feet. There is a different disease. The feet of flat walgus (PVS). It combines flat legs with curved in the shape of the X. inBaby, in addition to forming a deformation, a set of foot gradually straight up.
Degree of the wilgus curvature
The pathology neglect phase is determined by the size of the angle of mid-axis midst.
There are 4 degrees of diseases:
- And - up to 15 °;
- II - 15─19 °;
- III - 20,092 °;
- IV - 30 ° or more.
1-2 Phase Valgus deformation can be eliminated with conservative methods.With 3 degrees, an extended treatment is required.The 4 phases may require a surgical correction.
Causes of deformation
There are three factors, as a result, there is a curvature of the foot: impaired development intrauterine, chronic physical overload, muscle system diseases.These factors blind ligaments, tendons, muscles, so the foot does not improve in a normal anatomical position.
Reasons acquired by Valgus, Stana-Valgus feet (code M21.0 in ICD-10):
- Prematurely installing on their feet, when the hinds of babies are not yet ready for such loads;
- "Wrong" shoes (a narrow block with a thin high heel, without supiners).
- Hyšin hypotension, congenital myodistrophin;
- great weight, obesity;
- Rickets;
- Neuromuscular diseases (polio, children's cerebral paralysis, polyneuropathy of various etiologies);
- Congenital dislocation of thighs and hip joint dysplasia;
- trauma in the base or lower leg;
- Long-term immobilization of legs with plaster, tutor or pillow of Freik.
The congenital origin of the valgus and flat walgu damage the foot structure (Q66.6 code in ICD-10) may be transferred to the abdomen due to a pregnant or genetic disease.Such curved can be seen immediately after birth, sometimes it is manifested before the baby starts walking.
How to determine the stop deformation
Changing the lower limb configuration is set along the axis of the leg.This is the name of the conventional line, visually drawn from the center of the hip joint through the knee, ankle to the middle of Calcaneus.Norm implies the passage of axes through the middle of the joints that should not be transferred from it to the right or left.
Characteristic characteristics
In newborn babies, with the innate nature of Valgus, it is located immediately or in the first months of life.The signs of walgus failures in children often appear after a year and a half and a half and a half.The presence of the disease may be doubted about the behavior and gait of the child.The following general symptoms of pathology are most often located:
- Increased flexibility of small joints;
- Reduction of the height of the set of soles;
- Moving the center of gravity (when trying to walk a child, he relies only on the medial side of his foot, his outer edge can grow a little);
- insecure, moving a gait;
- Fast physical fatigue, a need for rest, to relax a child;
- Regular complaints on leg pain, unwillingness to walk;
- Light swelling and redness of the skin at the foot and ankle;
- Uneven wear of shoes, more expressed from the internal edge of the soles.
Deformation identification methodology
Methods of diagnosis of failures include a preview with the orthopede of the baby's leg, followed by the direction of the Baby for Instrumental Review.He made X -aj feet in three projections to find out the degree of bone movement.They also implement the planet for determining the height of the stock market and the degree of weight of straight feet.The use of the post -master is calculated the center of pressure on the solution.This is an effective diagnostic method, as it allows you to identify valguin deformations in the early stages.Sometimes, to explain the test results, the ultrasound of the feet was made.Visual signs of pathology are the only ones, slightly facing and raised in the side direction, the shift of heels, outward from the midline.With the flat deformation of Valgus, he was welded by the disappearance of the vault, flattening of the foot.To turn off the neurological causes of damage, the orthopedronic directs the child into a narrow expert.
Correction methods
To eliminate valgus, the main tasks are given the base of the correct position and subsequently strengthening the ligaments attached to heels and muscular tendons.
Fixation of the compound in a conservative way
With innate impairment, gypsum dresses or teachers were used.The purpose of rigid fixation of the foot at the right angle is to remove curvature per immobilization.While the fittings is not over, the fabrics are elastic, so they are easily susceptible to such correction.In addition to the acquired failure failure, to restore the correct foot settings, orthopedic shoes are made according to the child.Should not cause discomfort when used.Special shoe insert has side stiff supercinators, a soft pillow (pelot) under the foot of the foot.Such shoes are recommended to carry during rehabilitation after surgery and to consolidate treatment results.
Various roles with a walture foot
Experts recommend ordering orthoses, shoes or cords for children in orthopedic salons according to individual sizes and throwing foot.The price of the product will be slightly higher, but the use will give a more noticeable result.
Strengthening small joints
For general curing and tone muscles of the lower extremities, the use of contrasting feet is recommended.For these feet dipped alternately in a bowl of cold and warm water.They begin with a temperature of 36 ° C with liquid, then this value changes each week by 1 ° C. gradually leading to a range of 14 to 40 ° C.
It is useful to do the following exercises:
- Alternatively walking on socks, heels, inland, exterior edges of the soles;
- Collection of small items, clamping of fabric or paper, drawing with fingers of the leg;
- Gather ball sole on the floor;
- a set of finger exercises (extinguishing bending, breeding and closing);
- Walking per gravel and uneven surface.
The orthopedist can prescribe the massage exchange rate of the lumbar spine, affected by the lower stake or both legs.It is optimal to perform after heating paraffin or ozoxy application.The muscles of the inner surface of the legs act from motor motor movements (ditation, interference).The outer surface of the leg should be massaged with relaxing techniques - by hitting, rubbing.
Physiotherapy procedures
If the deformation of the foot caused the inflammation of articulated structures, muscle tendons, the child is prescribed by electrophoresis with painkillers and anti-inflammatory drugs, magnetotherapy, paraffin and therapeutic mud.Diaglinary currents are used for selective muscle stimulation.
Surgical treatment
In early childhood, radical methods of therapy are not used.But if the failure is mixed into normal walking, the operation is done on small children.During surgical intervention, doctors who use metal elements (titanium wires, bolts, plates) repair the deformed joint in a normal position.Surgeons can also strengthen the wrist by moving the fibula tendon or extend the Achillese tendon.After these operations, rehabilitation includes the use of orthopedic products, massages, physiotherapy and exercise of physiotherapy.
Preventive measures
To prevent valgus foot deformation, you need to buy comfortable shoes for children that match your leg size, anatomical structure of your foot.How to Choose - Watch E.O.Komarovsky on the video.The doctor says about the disease that this is a common breach of children and help in proper foot formation to form by year 12 years.The teenager is most likely to need a surgery to correct the expressed feet damage.The child should walk barefoot on the sand, grass, to walk a lot, eat completely.Dosage sunbathing prevents raikets in children, which is one of the causes of the disease.Physical education, body hardening, regular massage-strengthening courses.Gymnastics for feet muscles are also important, including the creation of the foot sample in the sand.Active outdoor games, swimming also contribute to strengthening muscles and ligaments of lower extremities.All these measures prevent the development of the foot rates.It is forbidden to put the legs of the child up to 7.5 ... 8 months, when the joints and bones of the lower extremities have not yet been strengthened.It is unacceptable to miss the planned reviews of pediatrics and narrow experts, which allows you to identify pathology at an early stage.
Answers a doctor to parent questions
How to warn the congenital deformation of Valgus?Unfortunately, the vice of the development of the musculoskelnim system cannot be prevented.Even if they did not find discominations in the hospital, the baby would regularly examine the pediatrician, receive massage, walking barefoot, but a safe foot surface.At home, the use of a massage carpet is recommended.Procurement of high-quality shoes also helps put foot in the correct position, to form a number of physiological heights.Such prevention will stop progress even inborn walgus foot.
Which doctor treats pathology?
If necessary, the pediatrician sends a baby to a children's orthopedic, traumatologist, surgeon.
What is the foot variation?
Deviations from the varus are a shift of heel bones from the midline.In this case, the footpath is made very high, and the center of pressure passes to the outer edge of the sole.The defect is treated with the same methods as the deformation of Valgus, only the angle of deviation is adjusted from the opposite side of the foot.
Valgus Foot deformation in children: Consequences and correction
Valgus Foot deformation is a pathological change of the musculos-bone system, in which the height of the foot set is declining, and the axis of the lower extremities of the shift.
Defect can be innate or developed in childhood, leading to straight feet, violations of positions and other health problems.As a rule, it adapts to conservatively, during long therapy filling, massages, physiotherapy.With regular deformation work, you can achieve proper setting of your leg and confident hallway.
Foot deformation in flat valgus in children's symptoms
These leg damage can be recognized by the following external characters:
- The leg is detained by the inner rib, the child rests on the inner part of his foot;
- The fifth and fingers are arranged outwards;
- The middle part of the foot is flat or noticeably lowered;
- When the knees are reduced, the legs acquire the IX-border, the legs are not converged together, between them remains distance of about 4-5 cm;
- Uncustibility, awkward gait, child often stuck, Shurtules;
- The kid gets tired quickly for a walk.
When can the defect manifest?
The onion foot begins to form from the moment the baby tries to take the first steps.For newborns, flat feet considered standards.When you independently take over the vertical position, children develop a muscle-bone system, "get used to new functions.Bones and ligaments begin to experience the burden, the foot is reinforced and takes the correct anatomical form.This usually happens up to 1.5 years.If per this age, the vaults remain flat, there is no formed bend, doctors define it as a valgus deformation of the foot.As a rule, violations were detected on medical examinations, but if the parents have independently noticed the above signs, you must immediately contact Orthopedic.If you start adjusting as soon as possible, the restoration is faster and without serious consequences.
Conclusion
They should pay their parents a maximum time to prevent shortcomings in the physical development of the baby, including gymnastics, massage courses and other recreational activities.If Valgus Foot deformation in children does not eliminate conservative treatment, then you must agree to surgical intervention to correct the foot shape.Finally, advanced pathology is crowded in the development of arthrosis, spine disease and shortening of limbs.