Parents need to pay great attention to the physical development of their children to adjust the deficiencies on time.In children, the leg deformation is a common pathology.Although the error is congenital or acquired, the diagnosis, prevention and correction methods are similar.
What is the valgus and the flat-valgus leg
The term valgus doctors from the conditional middle line (axis) indicates any curvature of the joints in which a "x -shaped" difference is noticeable.The most significant example of pathology is the thumb (hallux valgus) bones.The valgus deformation, which is shortened to "valgus foot" (Sun), is incorrectly adjusted on the horizontal holder.If the one -year -old baby puts the legs together, the back is noticeable when the inner ankle was closer to the opposite limb and the heel differs from the outside.At the same time, a flat child relies primarily on the inner (medial) of the foot.Therefore, the planar region, as it was, "looks like".The disease is a variety of flat valley legs (PVS).It combines flat legs with X -shaped curvature.In addition to deformation, the infant is gradually smooth.
The degree of curvature of valgus
The stage of neglecting pathology is determined by the angle of the heel difference from the median axis.
There is a 4 degree illness:
- I - up to 15 °;
- II - 15-19 °;
- III - 20 was 29 °;
- IV - 30 ° or more.
1-2 stages of valgus deformation can be eliminated by conservative methods.Treatment of 3 degrees longer.Surgery correction may be required in 4 stages.
The causes of deformation
There are three factors that result in curvature of the leg: impaired intrauterine development, chronic physical overload, muscle bone diseases.These factors weaken the ligaments, the tendons, the muscles, so the leg is not fixed in a normal anatomical position.
Causes of the acquired valgus, flat-valgus leg (Code m21.0 in ICD-10):
- Early adjustment on the legs when the baby's joints are not ready for such cargo;
- "Bad" shoes (narrow block with thin high heels, without superprins).
- muscle hypotension, congenital myodistrophy;
- high weight, obesity;
- Angle;
- neuromuscular diseases (polio, cerebral paralysis of children, various etiologies polyiniuropathy);
- Congenital dislocation of the thighs of the hip and dysplasia;
- trauma to the leg or lower leg;
- Long -term immobilization of the foot with gypsum, instructor or Freik pillow.
The structure of the foot (Code Q66.6 in ICD-10) may be the congenital origin of the valgus and flat valgus and the cause of abdominal injuries, which is handed over by a pregnant woman or a genetic disease.Such curvature is visible immediately after birth, sometimes manifested before the baby begins to walk.
How to determine the stop deformation
Changes the lower limb configuration along the leg axis.This is the name of the traditional line, which is drawn from the center of the hip through the knee to the center of the Calcaneus.The norm means that the axis of the axis is in the middle of the joints that should not be moved to the right or left.
Characteristic characteristics
Newborns, with the congenital nature of Valgus, are immediately found in the first months of life.Most often, after one and a half years, the signs of children's fault appear.The presence of the disease may be suspected by the infant's behavior and walking.The following general symptoms of pathology are most often found:
- increased elasticity of small joints;
- decrease in the height of the sole;
- The displacement of the gravity center (when trying to walk, the child relies only on the medial side of the foot, the outer edge may rise slightly);
- uncertain, shuffling walking;
- The need for rapid physical fatigue and relaxation for the baby to relax;
- Regular complaints of the feet of the legs, willingness to walk;
- shiny swelling and redness of the foot and ankle skin;
- Uneven wear on the shoe, more expressed from the inside of the sole.
Methodology to identify deformation
Faulty diagnostic methods include an orthopedic examination of the baby's leg, followed by the infant's direction for instrumental examination.He prepares an X leg with three forecasts to find out the degree of displacement of the bones.In addition, a planet is carried out to determine the height of the Ardor and the severity of the flat legs.The POP -meter is calculated to calculate the center of the sole pressure.This is an effective diagnostic method as it allows you to identify valgus deformations in the early stages.Occasionally, the ultrasound of the foot is made to clarify the results of the test.The visual signs of the pathology of the sole, slightly turned and raised in the lateral direction, the heel displacement from the middle line outward.With flat-valgus deformation, the vault disappears and the foot smoothing.In order to exclude the neurological causes of the error, the orthopedics directs the child to a narrow specialist.
Corrective methods
To eliminate the valgus, the main tasks are to provide the right position and the later reinforcement of ligaments related to the heel and muscles.
To fix the joint in a conservative way
They use gypsum bindings or instructors with a congenital error.The purpose of strict fixing of the leg at right angles is to eliminate curvature by immobilization.Although the bone is not completed, the tissues are elastic, so they can be easily applied to such a correction.With the acquired Valgus fault to return to the proper setting of his foot, they make orthopedics for the child.This should not cause discomfort.A special shoe insole is located with side rigid supercinators, a soft pillow (pelot) under your foot vault.Such shoes are also recommended during post -surgery rehabilitation and to solidify the results of the treatment.
Insole
Experts recommend that orthopedic salons be ordered orthoses, shoes or insoles in orthopedic salons, according to each size and foot.The price of the product will be slightly higher, but the use will result in a more noticeable result.
To strengthen small joints
General hardening of the lower limbs and the use of contrasting foot baths for tonic muscles.To do this, the legs alternately arise in a container with cold and hot water.It starts at 36 ° C with fluid and then change this value by 1 ° C per week, gradually ranging from 14-40 ° C.
It is useful to do the following exercises:
- Alternative walks of socks, heels, heels, inner, outer edges;
- Collection of small objects, clamping fabric or paper with the fingers of the legs;
- Pinching the soles of the ball on the floor;
- Practice sets for fingers (bending, breeding and closure);
- Walking on gravel and uneven surface.
The orthopedist can write a lumbar spine massage run, affected by the lower limb or both legs.It is optimal when heated with paraffin or ozoceritic application.The muscles of the inner surface of the legs are worn with tonic massage movements (acne, kneading).The outer surface of the legs should be massaged with relaxing techniques - caressing, rubbing.
Physiotherapy procedures
If deformation of the foot has caused inflammation of the arthritis and muscles, the child is prescribed with analgesics and anti -inflammatory drugs, magnetic therapy, black wax, paraffin and therapeutic mud.Diadynamic currents are used for selective muscle stimulation.
Surgery
In early childhood, radical therapeutic methods are not used.But if the error disturbs the normal walk, the operation is done for young children.During surgical intervention, doctors use metal elements (titanium wire, screws, plates) and fix the deformed joint in a normal position.Surgeons can also strengthen the joint by moving fibula tendons or extending the Achilles tendon.After these operations, rehabilitation includes the use of orthopedic products, massage, physiotherapy and physiotherapy.
Preventive measures
To avoid deformation of the foot dose, you should buy a child comfortable shoe that corresponds to the size of the foot, the anatomical structure of the foot.How to choose - look at E.O.Komarovsky at the video.The doctor tells the disease that this is a frequent violation of children and helps to properly form the foot until the age of 12.The teenager probably needs an operation to correct the pronounced error of the foot.The child has to walk barefoot on the sand, the grass, walk a lot and eat a lot.Dosage sunbathing prevents children's ricks, which is one of the causes of the disease.Physical education, body hardening, general strengthening massage regular courses.The gymnastics of the foot muscles are also important, including the creation of a foot pattern in the sand.Active outdoor games and swimming also contribute to strengthening the muscles and tapes of the lower limbs.All of these measures prevent the formation of foot defects.It is forbidden to have a child's legs 7.5 gra p.Put it for 8 months when the joints and bones of the lower limbs have not yet been confirmed.It is unacceptable to failure to study the pediatrician and narrow professionals that allow the early stages of the pathology to be identified.
Doctors 'answers to parents' questions
How to warn the congenital valgus deformation?Unfortunately, the replacement of the formation of the muscle bone system cannot be prevented.Even if no differences have been found in the hospital, the baby pediatrician should regularly check, massage, barefoot walks uneven, but on the safe surface of the legs.Home recommended massage carpet.Obtaining high quality shoes also helps the foot in place the proper position to form a series of physiological heights.Such prevention stops the progress of the congenital valgus foot.
Which doctor treats the pathology?
If necessary, the pediatrician directs the baby to the children's orthopedic, traumatologist and surgeon.
What is Varior Foot?
Varus differences are the displacement of the corner bone from the middle line.In this case, the foot set will be very high and the center of the pressure will be pushed to the outer edge of the sole.The error is treated by the same methods as the valgus deformation, but only the angle of difference is adjusted from the other side of the foot.
Foot deformation in children: consequences and correction
Deformation of the foot dose is a pathological change in the muscle bone system, in which the height of the leg is reduced and the shaft of the lower limbs is shifted.
The error can be congenital or develops in childhood, which can lead to flat legs, posture violations and other health problems.As a general rule, it is set in a conservative way during long treatment with charge, massages, physiotherapy.Regular deformation work can achieve proper setting and confident walking.
The feet of a flat valgus deformation of children in children's symptoms
This foot failure may be recognized by the following external signs:
- The leg is full of inner ribs, the child rests on the inside of the foot;
- The heel and fingers are installed outward;
- The middle part of the leg is flat or noticeably lowered;
- When the knee decreases, the legs get an IX-block shape, the legs do not converge, between them for approx.4-5 cm away;
- Uncertain, clumsy walking, the child is often stuck, shuffles;
- The kid quickly gets tired of a walk.
When can the error occur?
The arc of the foot starts at the moment the baby tries to take the first steps.In infants, the flat foot is considered a norm.In the case of an independent position of the vertical position, children develop a muscle system system and "get used to new features".The bones and ligaments start the loads, the leg is strengthened and the appropriate anatomical shape.This usually happens for 1.5 years.If the vault remains flat at this age, there is no corner, then doctors define this as a degree of foot.It is a general rule that medical examinations are violated, but if parents have noticed the above signals independently, they should be immediately contacted by an orthopedic.If you start setting as early as possible, recovery is faster and without serious consequences.
Conclusion
Parents need to spend the maximum time to prevent errors in the baby's physical development, including gymnastics, massage courses and other recreational activities.If the legs are not eliminated by conservative treatment in children, then you must take the surgery to correct the shape of the leg.After all, advanced pathology is full of arthrosis, spinal diseases and shortening of the limb.