Parents must pay great attention to the physical development of their children to adjust the shortcomings in time.Deforming Valgus of children in children is a regular disease.Although the defect is congenital or suffering, the methods of diagnosis, prevention and adjustment are similar.
What is Valgus and flat legs
The term Valgus doctors indicate any curvature of the inner joints from the middle line (axis), in which the skewed X x is marked as noticeable.The most obvious example of pathology is the bone on the thumb (Hallux valgus).Valgus deformation, which is abbreviated as the Valgus Foot leg (sun) is the wrong setting of the foot on horizontal support.If a one -y -y baby comes together, the back is noticeable when the ankle inside is moving closer to the opposite limb, and the heel is skewed outside.At the same time, a flat child is mainly based on the inside (intermediary) of the foot.Therefore, the Plantar area, as it used to, "looked".A series of diseases are a flat foot (PVS).It combines flat feet with X -shaped curvature. In the baby, in addition to the formation of deformation, gathering foot gradually flattened.
Valgus curvature level
The pathological removal stage is determined by the size of the angle of deviation of the heel from the average axis.
There are 4 degrees of disease:
- I - up to 15 °;
- II - 15─19 °;
- III - 20─29 °;
- IV - 30 ° or more.
1-2 stages of Valgus deformation can be removed by conservative methods.With 3 degrees, long -term treatment.In 4 stages, surgery may be required.
Causes of deformation
There are three factors, resulting in the curvature of the foot: the development of the uterus is weakened, chronic physical overload, the disease of the musculoskeletal system.These factors weaken ligaments, tendons, muscles, so the feet are not fixed because they are in normal anatomical position.
Reasons for Valgus to obtain, flat Valgus legs (code m21.0 in ICD-10):
- Early establishment on the legs, when the baby's joints are not ready for such loads;
- The wrong shoes of the Viking people (narrow blocks with high heels, no support).
- Muscle hypotension, congenital myodistrophy;
- Large weight, obesity;
- Abandon optical;
- Neuromusal diseases (paralysis, brain paralysis of children, multiple nerve disease of different causes);
- Congenital dislocations of thighs and dysplasia of hip joints;
- injury in the leg or lower legs;
- The long -term determination of the foot with the plaster, tutor or pillow of Freik.
The congenital origin of Valgus and Valgus defect in the structure of the foot (Code Q66.6 in ICD-10) may be due to abdominal injuries transferred by pregnant women or genetic diseases.Such curvature can be seen right after birth, sometimes it shows before the baby starts walking.
How to determine the deformation of the stop
A change in the configuration of the lower limb is placed along the axis of the leg.This is the name of the usual road, which is visually drawn from the center of the hip joint through the knee, ankle to the middle of Calcaneus.The indicator implies that passing through the axis through the center of joints should not be moved from it to right or left.
Typical features
In babies, with the innate nature of Valgus, it is found immediately or in the first months of life.Typically, the signs of a Valgus defect in children appear after a year and a half.The presence of the disease may be suspected by the behavior and gait of the baby.Usually, the following general symptoms of pathology are found:
- increase the flexibility of small joints;
- Reduce the height of the base set;
- The shift of the focus (when trying to walk, the child rely on the intermediaries of the foot, its outer edge can increase slightly);
- Not sure, the steps disturbed;
- Fast physical fatigue, need to rest, let the baby relax;
- Frequent complaints about pain in the leg, do not want to walk;
- Slight and red swelling of the skin in the feet and ankles;
- Wearing uneven shoes, more expressed from the inside of the sole.
Methods of determining deformation
Diagnostic methods include a test with a baby's orthopedic, then the baby's direction to check the tool.He was made a x -ray of the foot in three projections to find the level of bone transfer.They also performed a planet to determine the height of the enthusiasm and the severity of the flat foot.Using post -meter, the center of the pressure on the base is calculated.This is an effective diagnostic method, as it allows you to identify Valgus deformations in the early stages.Sometimes, to clarify the test results, the ultrasound of the foot is performed.The visual signs of the pathology are unique, slightly rotated and lifted in the direction, the movement of heel, out from the middle line.With flat Valgus deformation, the disappearance of the tunnel, flattening the foot is recorded.To eliminate the neurological causes of defects, the orthopedic doctor directs the child to a narrow expert.
Adjustment method
To eliminate Valgus, the main tasks are to provide the exact position and the next enhancement of the ligament attached to the heel and muscle tendons.
Conservative joint fixation
With a congenital defect, plasterboard or tutor is used.The purpose of the rigid determination of the foot in the right corner is to remove the curvature by fixing.Although the fossil process has not been completed, fabrics are elastic, so they can easily accept such adjustments.With the Valgus defect, to return the accurate settings of the foot, orthopedic shoes are made for children.It should not cause discomfort when used.A special shoe sole has a hard car on the side, a soft pillow (pelot) in the tunnel of the foot.Such shoes are also recommended to wear during after surgery recovery and to strengthen the treatment results.
A series of legs with Valgus legs
Experts recommend ordering orthopedics, shoes or soles for children in orthopedic shops according to their personal sizes and actors.The price of the product will be a bit higher, but the use will give more remarkable results.
Increase small joints
For hard muscles and tonic muscles of the lower limbs, it is recommended to use a contrast leg tub.For this, the feet are alternated in a container of cold and hot water.They start with a temperature of 36 ° C in liquid, then this value is changed each week with 1 ° C. Gradually bringing to a range from 14 to 40 ° C.
Very useful when performing the following exercises:
- Replace walking on socks, heels, inside, outside of the base;
- Collect small objects, grasp the fabric or paper, draw with the finger of the feet;
- Sking The Ball Sole on the floor;
- A set of exercises for fingers (bend, reproduce and close);
- Walking on pebbles and an uneven surface.
The orthopedic doctor may prescribe a massage process of the lumbar spine, affected by the lower or both legs.It is optimal to perform it after heating with the Parafin or Ozokeritic application.The muscles of the inner surface of the leg are acting by the tonic massage movements (patting, kneading).The outer surface of the foot must be massaged with relaxing - caressing, rubbing techniques.
Physiotherapy procedures
If the deformation of leg inflammation stimulates joint structures, tendons of muscles, children are prescribed electrophoresis with painkillers and anti -inflammatory drugs, from chemotherapy, application of black wax, paraffin and mud therapy.For selective muscle stimulation, diapernamic flow is used.
Surgical treatment
In childhood, thorough treatments are not used.But if the defect intervenes in normal walking, the activity is done for young children.During the surgical intervention, doctors use metal elements (titanium wire, screws, sheets) to repair the deformed joints in normal position.Surgery doctors can also strengthen joints by moving the tendon of the fiber or extending the Achilles tendon.After these activities, rehabilitation includes the use of orthopedic products, massage, physical therapy and physiotherapy exercises.
Prevention measures
To prevent the Valgus deformation of the foot, you need to buy a child's comfortable shoes corresponding to the size of the foot, the anatomical structure of the foot.How to choose - See the recommendations of E.O.Komarovsky at the video.The doctor talking about this disease is a regular violation in children and helps to form the exact feet formed until the age of 12.Teenagers most likely need a surgery to repair the foot of the foot.The child should walk barefoot on the sand, grass, walk a lot, eat well.Sunbathing prevents rickets in children, this is one of the causes of the disease.Physical education, stiffness of the body, courses regularly on general strengthening.Exercise for the muscles of the foot is also very important, including creating a model of a foot on the sand.Positive outdoor games, swimming also contribute to strengthening the muscles and ligaments of the lower limbs.All these measures prevent the development of foot defects.The child is banned from set foot of the child up to 7.5 gra p .8 months, when the joints and bones of the lower limbs have not been strengthened.Unacceptable when missing exams according to the plan of pediatricians and narrow experts, allowing you to identify the pathology in the early stages.
The doctor's answer to parents' questions
How to warn the congenital Valgus deformation?Unfortunately, it is impossible to prevent the development of the musculoskeletal system.Even if they do not find any deviations in the hospital, the baby should be regularly tested by the pediatrician, massage, and the barefoot on the surface is not flat, but safe for the leg.At home, a massage carpet should be used.The acquisition of high quality shoes also helps to set foot in the right position, to form a physiological height.Such prevention will prevent the progression of congenital Valgus legs.
Which doctor treats pathology?
If necessary, the pediatrician directed the baby to the orthopedic doctor, the surgeon, the surgeon.
What is the foot change?
Varus deviation is the movement of the inner heel bone from the middle line.In this case, the foot set is created very high and the pressure of pressure is transferred to the outer edge of the base.A defect is treated by methods similar to Valgus deformation, only the angle of deviation is adjusted from the opposite side of the foot.
Valgus deformation of children in children: Consequences and correction
The Valgus deformation of the foot is a pathological change in the musculoskeletal system, in which the height of the foot set decreases and the axis of the lower limbs.
Defects can be born or developed in childhood, leading to flat feet, violating postures and other health problems.As a rule, it is conservative adjustment, during long -term treatment with charging, massage, physiotherapy.With regular work of deformation, you can achieve the right setting and confident gait.
Flat valgus deformation of children in children-Somptoms
This foot defect can be recognized by the following external signs:
- The foot is scattered with the inner ribs, the child lies on the inner part of the foot;
- The heels and fingers are deployed;
- The middle part of the feet flat or lowered significantly;
- When the knee is reduced, the leg has a IX shape, the vacuum converges together, between them distance of about 4-5 cm;
- Not sure, the gait is awkward, the child is often trapped and disturbed;
- The child quickly tired when walking.
When can a defect manifest?
Arch of the Foot started to form from the moment when the baby tried to take the first steps.For babies, a flat foot is considered to be standard.When taking an vertical position independently, children develop a musculoskeletal system, it is familiar to new functions.Bones and ligaments begin to experience the load, the foot is enhanced and have an exact anatomical shape.This usually happens up to 1.5 years.If at this age, the tunnels are still flat, without bending, the doctors define this is the Valgus deformation of the foot.As a rule, violations are detected in medical exams, but if parents notice the above signs, you need to contact an orthopedic immediately.If you start adjusting as soon as possible, recover faster and have no serious consequences.
Conclusion
Parents need to spend maximum time for preventing defects in the physical development of the baby, including gymnastics, massage courses and other entertainment activities.If the Valgus deformation of the feet in children is not removed by conservative treatment, then you need to agree to surgical intervention to adjust the shape of the foot.In the end, advanced pathology is complete with the development of muscle disease, spinal diseases and shortening limb.