Welding Valgus-Fuß-The most common orthopedic pathology of children.She usually meets her in the first years of the child's life because she obviously becomes after the baby begins to master the independent walk.In this article, we will tell what to do when such a curvature is found.
What is Valgus deformation
In fact, valgus deformations and flat feet are different pathologies of the lower extremities, but in children it is most common a combination of a decrease in the feet, which is characteristic of flat feet, and a change in the position of the foot in the load with an oral shift, which is characteristic of the deformation of valgus, most frequently observed.
The Valgus curvature is such a deformation in which the child is mainly based on the inner part of the feet in an upright position, and the fingers and heels are used in an external direction.
Usually the setting of the legs should be in parallel.If you look at two standing legs behind it, you can mentally draw two just vertical lines.In a child with Valgus deformations, these lines are broken in the area of the ankle joint with a deviation to the outside, which determines the second name of the pathology-X-shaped deformation.
Everything is much more complicated on flat feet.All children from birth have a physiological flat foot, so it is impossible to look at this pathology after 1-2 years.However, orthopedic surgeons take into account the problem comprehensively, and a deformation of the diagnostic flat-valgus appears in the child's medical record in the medical record.
It is rare enough, but the Valgus curvature can be innate.For some reason, the lower limbs of the fetus begin to develop abnormally in the womb.Such legs are visible almost immediately after the baby was born, and after 2-3 months the diagnosis is usually made quite reasonable.
A flat foot is not a sentence.In the case of timely treatment with a responsible and systematic approach of the parents, the function of the foot in mild pathology can be completely restored.It all depends on the degree of the disease.
Flach - Valgus deformation of the feet - how do you correct the defect?
Braße Valgus installation of the stop - an orthopedic anomaly that is characterized by deformation changes in the foot, which occurs in both adults and children.
The deformation is a violation of the surface of the foot if its medium part is displaced and the fingers and paragraphs are turned outwards.
The reason for the abnormal development of the foot lies in the weakness of the ligaments, muscles and tendons when the foot is attracted to them under the influence of stronger muscles.The result of this effect is the formation of flat feet.
The deformation of the feet is essentially the same flat feet, a very common defect that can be found in all fifteenth inhabitants of the planet.The disease is difficult to treat and the treatment process itself is long and problematic.
The reasons for the development of pathology
During the development, our foot was formed in such a way that the weight of the human body was adopted and evenly distributed.The role of the foot is to ensure the greatest depreciation when walking, running and jumping.
In addition, thanks to the unique anatomical structure of the foot, a person goes into an upright position without falling right - left, back and forth.The protruding vaults of the feet are directed in two directions: across and longitudinal cuts.
So an adult has three points as support:
- Element of the big plus bone;
- Heel hill;
- The fifth plus bone.
Pathology occurs much more frequently in young women because they wear high shoes with high shoes.Visually, the legs resemble the letter "X" with such a deformation.At the same time, the pile of bones and fingers are directed in one direction (outside), and the middle part of the foot is shifted down.
Thus, the development of the deformation contributes:
- Weakness of the band apparatus;
- Diseases of the connective tissue;
- Weight (with obesity an additional load is generated on the feet, which leads to its deformation);
- Wear uncomfortable shoes with a high bargain.
Classification of pathology
Depending on the shape of the curvature of the foot, the pathology can be three types:
- Cross;
- Longitudinal section;
- Combined.
The longitudinal system of the foot is the worship of the longitudinal arch of the foot.If there is a gang injury at the same time;Pain during walking and palpation and changes in deformation are also visually observed.We can talk about the longitudinal deformation of the foot.
The cross -deformation is characterized by a certain type of foot - it looks visually flattened.At the same time, the tendons of the fingers are stretched unnaturally and the curvature has a hammer.The patients complain about pain when walking and gang injury.
The combined installation of the foot combines signs of both the transverse and longitudinal anomaly and is called transverse - along the flat feet.Nevertheless, there is no pain and different inconvenience.
Deformations are classified as follows:
- Spastic - arise after muscle cramps;
- Rachitic-developed as a result of the D-hypovitaminosis;
- Structural - abnormal arrangement of the thawed bone;
- Paralytic - a sequence of poliomyelitis;
- Hyper -correctional - appear as a result of an unsuccessful correction of club foot;
- Statistically - with the development of scoliosis and posture disorders;
- Compensator - a defect in the development of the Achilles tendon, in which the bones are moved inside;
- Traumatic - develop through damage, bruises, transfers and fractures;
Symptoms
As mentioned above, a flat walgus deformation develops against the background of congenital flat feet.The symptoms of the disease depend on the part of the foot of the curvature.
For example, the compensation deformation develops due to an oriented or even foot.It can be the result of the Fibula pathology.The disease is characterized by muscle paralysis of both feet and lower leg.
In the presence of a "bump", the symptoms occur as follows:
- Bones can be inflamed, swell and become sick.
- The thumb sparkles inwards, while the same fate is overtaken by other fingers, they are also deformed in the form of hammers and paired.
- It is impossible to wear narrow shoes or heels, and sometimes even comfortable;
- Very often, patients with such a pathology chives wear several sizes;
- The curvature of the thumb prevents the normal position of other fingers, they bend bizarre and also bend;
- A long time causes pain and severity in the legs;
- There are grains and corn on the sole.
Treatment of pathology
It should be said immediately that the diagnosis of flat feet of the valgus contains a very long and complex treatment that takes a lot of time.It is important to diagnose the disease as soon as possible and to start adequate treatment.The time in this case works against the patient, since timely treatment has hope to quickly remove the disease.
The treatment of Valgus Flatfoot includes;
- Medical physical education that aims to correct the shape of the foot and strengthen the muscles;
- Physiotherapeutic methods;
- Orthopedic shoes, insoles, superiors;
- the use of orthopedic orthoses, brows and other corrections;
- Regular massage of the lower extremities and the Lumbosacral - Krytsovo - Gluteal.
Pulealgate steps in children
It should be noted immediately that all of this refers to an adult with the presence of this pathology, but everything is different for young children.
Almost all children are born with flat feet, and it is clear why.After all, their feet did not experience any loads at that time and they only take the first steps when they are put on their feet.
Of course, you go wrong your legs during this time because you don't know how to go.
It is therefore worth distinguishing the functional flattening of the water vault and anatomically.Physiological flattening is just a stage of the orthopedic development of the lower extremities and the norm.
With sufficient loads (when walking on uneven surfaces), the deformation of the child is quickly set.This usually happens by three years.In addition, there is a natural layer of fat up to three years on the child's sole that covers the arch.
You can only see it if you put the child on socks.
The process of forming the arch is long, it takes several years.Therefore, it is not worth talking about anatomically correctly formed foot earlier than five years.However, all children are different, so this process is formed earlier and for someone later.
It depends on how much the child is physically developed and healthy, whether it has deviations from the development of the bone muscle system, violations by the endocrine and nervous system.
Unfortunately, there are cases in which flat feet become an obvious pathology.
In the risk group, in children who were diagnosed in the first year of life of the development of the musculoskeletal system, a decrease in muscle tone, a delay in psychomotor development and obesity.The consequence of such violations will be a flat -free deformation of the feet.
The deviation of the feet angle from the axis line of the children's orthopedic surgeon is measured to degrees.In this case, the body's body weight is spread unequally on the legs and experiences a certain part of the foot of the greatest load.In this case it is the inner edge of the foot where the longitudinal vault should form.Therefore, the therapists call this level -valgus pathology.
massage
The massage is the main treatment method in the complex therapy.It helps to relax the bone muscle system, improve blood circulation and the muscle apparatus of the sole to Tropha.The child's legs are massaged in the following order:
- Just stroke the legs right before the massage begins;
- The hips and knees are also treated with light strokes;
- The muscles of the rear surface with surface pressure are smuggled;
- Grate the muscles;
- Perform the child's legs with a palm;
- Perform the last stroke.
The total massage also begins with stroking, which increases blood flow to the limbs of the baby.Movements are carried out by heel to a popliteal fossa.During the massage, the focus is on muscle relaxation, the baby does not have to grind.
If it is necessary to make several energetic rubbing in some areas, you should be light and energetic at the same time.The memories are carried out with fingertips.The focus is on stroking and shaking.
Medical physical education
Gymnastical exercises for the treatment of flat feet are carried out on a medical carpet that should have an unequal (relief) surface.Implementation of exercises on such a carpet is also a mechanical massage of the feet.Exercises are suitable for children aged two or three years.
Exercises on the carpet:
- withdraws from one leg to another, the transmission of body weight;
- On one leg stood, other sliding movements along the carpet;
- Make circular movements with your body on one side or the other by put your hands on your belt.
- Put one leg in front of the other, then make socks and lower your heels.
- Lean on the heel and the other on the toe with one foot, at the same time let your foot roll from the toe to the heel;
- Go on the carpet that sticks to the outer edge of the foot.
Surgical treatment
Surgical treatment for the purpose of correcting flat feet is extremely rare.The excesses of the foot of the foot are made according to the Grace method.The defect is also corrected in the youth, but the arthrodesis technology is used in which you are gradually repositioning the foot bones to correct the vault.
The most effective option is the surgical correction of a defect in a child of 4 to 5 years with flat feet.At this age, a rapid restoration of ribbons and joints and the repositioning of bones leads to the best result.
Selection of shoes
The deformation of the feet of the Equinvalgus is eliminated with correctly selected shoes.It is very important that the support of the lower and lateral part of the foot turns out to be the case.For treatment, orthopedic shoes are selected according to individual standards.It enables the muscles to distribute the load on the feet normally and evenly.Pediatricians are very useful if they wear special shoes:
- Lowering the load on the musculoskeletal system, system,
- The negative consequence of the deformation is eliminated
- Normal posture and gait are formed,
- Muscles and band devices develop properly.
Consequences
If you do not find a flat valgus foot in the child, serious complications will be available in the future that can cause disabilities.First, a false course is generated in which the structure of the knee and hip joint is disturbed.Then the spine is curved, which presses on the inner organs and does not let it work normally.
Prognosis and prevention
Early treatment enables you to get rid of the flat valgus foot completely.In advanced cases, the child shows problems with the spine in adolescence.
It is possible to prevent such a violation by performing simple gymnastics every day.Don't try to put the baby on your feet when it is less than 9 months old.It is worth avoiding the child's musculoskeletal system.
Practical advice
As statistics show, around 40% of children with a degree of flat feet are found annually during the preventive examinations of school children.Most of them are girls.Such a prevalence is due to the fact that the early stages of Valgus often remain unnoticed.
The prevention of flat feet is particularly important in the school years when the child grows intensively.
The crucial time is between 3 and 7 years: At this point, the shoes are well fixed to repair the leg and corresponds to the size.
Do not buy expensive orthopedic shoes if the diagnosis has not yet been made or the doctor has not given such a recommendation.In some cases, additional support for the feet can achieve the opposite result.