Sweat-volgus leg-the most common pediatric orthopedic pathology.It usually meets her in the first years of the child's life because she becomes obvious after the baby begins to master independent walking.What to do if such a curvat is found, we will find out in this article.
What is valgus deformation
In fact, deformation of valgus and flat legs are different pathologies of the lower limbs, but in children it is most often a combination of a reduction in the leg arch characteristic of flat legs and a change in the position of the foot when loading with oral displacement, characteristic of the deformation of the valgus, is most often observed.
Valgus curvature is such a deformation in which the child is upright is mainly based on the inside of the legs and the toes and heels are located in the outer direction.
Usually the setting of the legs should be parallel, that is, when you look at two standing legs from the back, you can mentally draw two straight vertical lines.In a child with a deformation of Valgus, these lines are refracted in the area of the ankle joint with a deviation from the outside, which determines the second name of the pathology-X-X-shaped deformation.
With flat feet, everything is much more complicated.All birth children have a physiological flat leg, so it is impossible to consider this as a pathology of 1-2 years.However, the orthopedists are considering exhaustively the problem and a deformation with the diagnosis-free-volgus in the medical file appears in the medical file.
It is rare enough, but the curvature of Valgus can be congenital.For some reason, the lower limbs of the fetus in the womb begin to develop unusually.Such legs are visible almost immediately after the baby is born and at 2-3 months the diagnosis is usually made quite reasonably.
Quart with flat valgus is not a sentence.With timely treatment, with a responsible and systematic approach to it for the parents, the function of the foot in the case of mild pathology can be completely restored.It all depends on the degree of the disease.
Flat - Valgus deformation of the steps - how to correct the defect?
Valgus frying on the stop - an orthopedic anomaly that is characterized by changes in deformation in the foot, which is found in both adults and children.
Deformation is a violation of the surface of the foot when its middle part is displaced down and toes and heels are outward.
The cause of 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 the stronger muscles.The result of this effect is the formation of flat legs.
The deformation of the planeals of the legs is essentially the same flat legs, a very common defect that is found in every fifteenth resident on 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 evolution, our foot is formed in such a way as to absorb and evenly distribute the weight of the human body.The role of the foot is to provide the most large depreciation during walking, running and jumping.
In addition, thanks to the unique anatomical structure of the foot, one goes upright without falling to the right - to the left, back - back.The protruding vaults of the legs are directed in two directions: transverse and longitudinal.
So an adult has three points in support:
- element of large plus bone;
- Heel Hillock;
- The fifth plus bone.
The pathology is found in young women much more often as they wear high -level shoes.Visually, the legs with such deformation resemble the letter "X".At the same time, the bone bone and the toes are directed in one direction (outside) and the middle part of the foot is shifted down.
Thus, the development of deformation contributes to:
- Weakness of the ligamental apparatus;
- Connective tissue diseases;
- Weight (with obese creates an additional load of the legs, which leads to their deformation);
- Wearing uncomfortable high mill shoes.
Pathology classification
Depending on the shape of the curvature of the foot, the pathology can be of three types:
- transverse;
- longitudinal;
- Combined.
The longitudinal installation of the foot is the worship of the longitudinal arch of the foot.If at the same time there is a violation of the gait;Pain while walking and palpation and changes in deformation are even visually observed, we can talk about the longitudinal deformation of the foot.
The transverse deformation is characterized by a certain type of foot - it looks visually flattened.At the same time, the tendons of the fingers are unnaturally stretched and the curvature has a hammer.Patients complain of pain when walking and gait disorder.
The combined installation of the foot combines signs of both transverse and longitudinal anomaly and is called transversely - longitudinal flat feet.However, there is no pain and various inconveniences.
Deformations are classified as follows:
- Spastic - occurs after muscle cramps;
- Rachitic development as a result of D-hypovitaminosis;
- Structural - abnormal arrangement of the thawed bone;
- paralytic - a consequence of polio;
- Hyperco -referral - seems to be the result of an unsuccessful clubfoot adjustment;
- Statistically - with the development of scoliosis and posture disorders;
- Compensatory - a defect in the development of the Achilles tendon in which the bones are displaced inside;
- Traumatic - develop as a result of damage, bruising, dislocations and fractures;
Symptoms
As mentioned above, deformation of a flat wave is developed against the background of congenital flat legs.The symptoms of the disease depend on which part of the foot was subjected to curvature.
For example, the leveled deformation develops due to a variant or balance.This may be the result of the fibula pathology.The disease is characterized by muscle paralysis of both the legs and the lower leg.
In the presence of a "boom" symptoms will appear as follows:
- The bones can become inflamed, swell and become ill;
- The thumb shines inwards, while the same fate is ahead of other fingers, they will also be deformed and convex in the form of hammers;
- It is impossible to wear tight shoes or heels, and sometimes even comfortable;
- Very often, patients with such pathological shoes wear several more sizes;
- The curvature of the thumb prevents the normal position of other fingers, they are strangely bent and also bend;
- Prolonged walking causes pain and heaviness in the legs;
- There are calluses and calluses on the sole.
Treatment of pathology
It should be said immediately that the diagnosis of flat legs of Valgus involves a very long and complex treatment, which takes a long time.It is important to diagnose the disease as soon as possible and start adequate treatment.The time in this case works against the patient as timely treatment has been hoping for the rapid elimination of the disease.
The treatment of Valgus Flatfoot includes;
- medical physical education that is aimed at correcting the shape of the foot and strengthening the muscles;
- physiotherapy procedures;
- wearing orthopedic shoes, insoles, supervisors;
- the use of orthopedic orthosis, breaks and other concealers;
- Regular massage of the lower limbs and lumbosacral - Kretovo - gluteal place.
Planealgate steps in children
It should be noted immediately that everything above refers to an adult with the presence of this pathology, but in young children everything is different.
Almost all children are born with flat legs and it is clear why.In the end, their legs at that time did not experience loads and they only take the first steps when they were placed on their feet.
Naturally, during this period they put their feet incorrect because they do not know how to walk.
Therefore, it is worth distinguishing the functional flattening of the vault of the foot and the anatomical.Physiological leveling is only a stage of orthopedic development of the lower limbs and is the norm.
With sufficient loads (when walking on uneven surfaces), the deformation of the child is quickly adjusted.This usually happens for three years.In addition, up to three years, there is a natural layer of fat on the sole of the child that covers the arch of the foot.
You can only see it if you put your child on socks.
The process of forming the arch of the foot is long, it takes several years.Therefore, talking about the anatomically properly formed leg costs not five years old.However, all children are different, so this process is formed early and for some later.
It depends on the extent to which the child is physically developed and healthy, whether there are deviations from the development of the bone muscle system, disorders of the endocrine and nervous systems.
But, unfortunately, there are times when flat legs become an obvious pathology.
In the risk group, children who are diagnosed with disorders in the development of the musculoskeletal system in the first year of life, a decrease in muscle tone, a lag in psychomotor development and obesity.The consequence of such disorders will be equal deformation of the legs.
The deviation of the angle of the legs from the axis of the children's orthopedists is measured in degrees.In this case, the body weight of the body is unevenly distributed to the legs and experiences a certain part of the foot of the largest load.In this case, this is the inner edge of the foot, where the longitudinal vault should form.Therefore, therapists call this plane -Valgus pathology.
Massage
Massage is the main method of treatment for complex therapy.It helps to relax the bone muscle system, improve blood circulation and trophic of the sole of the sole.The child's legs are a massage in the following sequence:
- Immediately before the start of the massage, the feet are caressed;
- The hips and knees are also treated with light strokes;
- The muscles of the back surface with a surface pressure are mixed;
- rub your muscles;
- Make the child's feet with his palm;
- Perform the final vote.
The overall massage also starts with a bun, which increases blood flow to the limbs of the baby.The movements are carried out from the fifth to the overhaul.During the massage, the focus is on muscle relaxation, the baby does not need to grind.
If in some areas it is necessary to make several energy friction, then they must be both light and energetic.The reminers are made with fingertips.The main focus is on caressing and shaking.
Medical physical education
Gymnastic exercises for the treatment of flat legs are performed on a healing carpet, which should be uneven (embossed) surface.Exercise on such a carpet, at the same time, has a mechanical foot massage.Exercises are suitable for children of two or three years.
Carpet exercises:
- withdrawal from one leg to another, transfer of body weight;
- Standing on one leg, other sliding movements on the rug;
- Putting hands on the belt, make circular movements with the body on one side or the other;
- Place one leg in front of the other, then take care of socks and lower your heels;
- Lean on the heel with one leg and the other on the toe, at the same time, make the foot roll from the finger to the heel;
- Walking on the carpet, relying on the outer edge of the foot.
Surgical treatment
Surgical treatment for the purpose of flat leg correction is extremely rare.The excess of the vault of the foot is made according to the method of grace.The defect is also corrected in adolescence, but the arthrodesis technique is used in which they perform a gradual transmission of the bones to the foot to correct the vault.
The most effective option is the surgical correction of a defect in a child of 4-5 years with flat feet.At this age, a speedy restoration of connections and joints is happening, as well as bone repositioning produce the best results.
Shoes
The deformation of the legs of equilibrium equilibrium is eliminated with the help of properly selected shoes.It is very important to support the lower and sides of the foot.For treatment, orthopedic shoes are chosen to individual standards.It allows the muscles to function normally and evenly distribute the load on the legs.Pediatricians are extremely useful from wearing special shoes:
- lowering the load on the musculoskeletal system,
- the negative consequence of deformation is eliminated,
- normal stand and gait are formed,
- Muscles and ligamental apparatus develop properly.
Consequences
If you do not find a leg with a flat volgus in the child on time, then in the future there will be serious complications that can cause damage.First of all, an incorrect gait is obtained, resulting in the structure of the knee and hip joint.Then the spine is curved, which presses the internal organs and does not allow them to function normally.
Prediction and prevention
Early treatment allows you to completely get rid of the foot of the flat countries.In advanced cases, in adolescence, the child will show problems with the spine.
It is possible to prevent such a violation by committing simple gymnastics every day.Do not try to put your baby on your feet if it is less than 9 months.It is worth avoiding overloading the child's musculoskeletal system.
Practical advice
As statistics show, about 40% of children with one degree of flat legs are found annually during the preventive examinations of students.Most of them are girls.Such spread is due to the fact that the early stages of Valgus often go unnoticed.
Prevention of flat legs is especially important in school years when the child grows intensively.
The decisive period is from 3 to 7 years: it is at this time that the shoes are well fixed to fix the legs and correspond to the size.
Do not buy expensive orthopedic shoes if the diagnosis is not yet made or the doctor has not made such a recommendation.In some cases, additional leg support can give the opposite result.