She is accompanied by the following differences:
The maximum percentage observed in children of younger school and preschool age. Although there are cases where this diagnosis may be considered as prohibited.
The shape of the foot, which developed in the course of evolution, provides uniform distribution of body weight. The bones of the feet, the united strength of the ligaments, consisting of the state, whose task is to provide maximum cushioning movements when running and walking. Bulging arches are oriented in two directions – transverse and longitudinal. Therefore, it is normal for the legs of an adult on three points of support – the head of the first dice, пяточный bump and the fifth bone.
In children, the flattening of the arch of the foot, usually occurs in the period when the child is just taking its first steps; it has to do with a fairly serious load on the foot when trying to make a move. Of course, you cannot expect from a toddler ideal for a correct determination of the stop or walk "from the hip" immediately after he first stood on his feet. No need to panic, or just put a cross in the athletic or military career.
As usual, the first parents ' complaints arise when a child makes his first independent steps. In this case, it is necessary to clearly distinguish between the physiological flattening of the arch of the foot of a child who has not yet reached the age of three years, and actually Hallux valgus deformity, which no longer requires the supervision of a doctor-orthopedist. To three years in children on the plantar aspect of the feet has a "fat pad", so when a simple visual examination of the arch is not visible. But it will be noticeable, if you ask your toddler to stand up on носочки. The bone tissue in a child continue to be up to 5-6 years, so it is just in this period it makes sense to start to talk about the absence or the presence of a child as such вальгусной DEFORMATION.
Although it should be borne in mind that Hallux valgus feet in children can lead to such adverse consequences, such as:
In some cases, the diagnosis of "Hallux valgus feet", give the child still in the роддоме. In this case, instead of the congenital nature of the disease (vertical taran).
Doctors there are three degrees of severity вальгусной deformation of the feet: light, medium and heavy. The so-called stop-rocking-chair (vertical ram, dog paperweights) – the most heavy degree of deformation. To draw attention to it right away at birth, the frequency of cases, identify - 1 on 10 000 newborn babies. Pathological this deformation has not been studied definitively. As the most likely cause of the deformation of the doctors there are defects in development and the delay of its development in one of the stages of the formation of the embryo.
The parameters of the feet in the standard:
The height of the longitudinal arch of the feet in children of preschool age in the norm, may 19-24 mm.
Light level is characterized by the following parameters:
High school degree:
Feet – the foundation, the "foundation" of our body. And if this base curve, and a uniform, reliable, at home to build on it. Hallux valgus deformation of the feet carries with it a Hallux valgus (X-shaped) deformation of the knee and голеностопных joints, incorrect position of the pelvis, disorders of posture. The curvature of the axis of the spine and limbs leads to muscle overload, which will in vain try to hold the body in the correct position. As a result – the appearance of pain, the premature development of arthrosis, a degenerative disease of the disk.
With regard to all of the above, parents need to remember that flat feet is a major problem only when the feet are not only flat, but also cause the anxiety of the child when walking or running. If when lifting the носочки the arch of the feet on the child look normal and does not in any way do not disturb, and treatment is not necessary.
If flat feet, are on the same painful, малоподвижными – it's a completely different situation. Here already need help, the orthopedic surgeon, regularly engaged in the legs, to competently assess the severity of the pathology and to develop the adequate tactics of conducting the patient. It can be as a prevention to help specialized shoes and operative treatment in different variations:
Method Dobbsa is to do 5-6 sessions (one per week) щадящей manual correction of the deformation of the feet. Each session terminated by the introduction of gypsum involved the lower extremities, aiming to secure retention of the stop in the position of maximum correction. In this гипсовую bandage applied from the upper third of the thigh to the tips of her fingers with согнутым коленным суставом to 90°.
For 5-6 also clinical-рентгенологических session to normalize the anatomical relations in the joints of the middle and back of the flag foot. The last phase consists in the two surgical stripping: fixation of the joint using a needle Киршнера in the correct position ( under the control of ЭОП) and complete percutaneous surgery.
After these manipulations for a period of up to 8 weeks applied гипсовую bandage. After the spokes are removed, the child is in the shelter of the shoes (without fixation of the knee joint; with the card of the longitudinal arch; with the option of a full-fledged and a foothold on the legs). Then the highlight of recurrence of the deformation of the feet, up to 4-year-old children is associated with orthopedic mode of wearing breis. How and after treatment by the method of Ponseti, children wear breis in the first stage for 23 hours a day (up to 4 months), then the period of wear is gradually shrinking, and further breis to pull only at the time of sleep (day and night). Unlike methods Ponseti is only in the angular configuration of the surfaces of the foot. Furthermore, children, вылеченные by the method of Dobbs, wear ортопедическую shoes with the performance of the longitudinal arch.
It must be remembered, that, in determining the diagnosis and treatment of all the nuances is necessary to coordinate both with the orthopedist, as well as with doctors of related fields (therapist, doctor of physical therapy, physical therapist, etc.).