The normal position of the feet match the conventional line, made it through the first stretch between your toes, the centre of the knee joint and the hip joint. The deviation from this line is considered to be the deformation of (breach of the normal position, the curvature), which can be varus and valgus. When varus deformation (O-shaped) central part of the shin optically deviates outward, while a valgus deformity (X-shaped) of the tibia is moving in, the legs resemble the letter ..
A Valgus deformity of the femoral neck is characterized by changing the cervical-diaphyseal angle, the increase. Most often combined with a valgus deformity of the lower limb and mark the all-valgus deformation of the feet. In most cases, this disease is a congenital pathology, under the control of hip dysplasia , but also may develop as a result of injury or lesions of the nervous system. Can lead to the development of coxarthrosis (damage to the hip joint).
Deviation of the axis of the legs, which visually determines the distance between the inner ankles of about 5 cm, the knees tightly compressed. Valgus foot deformities appear in the children's age due to the early permission of the child state, a long stay in the standing position (in the arena), breach of crawling. This is due to the insufficient strength of the muscles and ligaments, and the increased load on them. The major reasons of this pathology can be attributed to rickets , hip dysplasia, knee injuries. Fundamental changes will first concern the knee joints, are experiencing some of their overextension, the emergence of the view answers in a row (- valgus flat feet. The child complains of fatigue in the legs, begging on hands, notes the pain in the legs with prolonged walking. In the asymmetric curvature of the legs is a risk of developing scoliosis (curvature of the spine).
A Valgus deformity of the ankle joint is characterized by a shift of the heel outwards and overturning the actual feet inside. Often leads to the development of mark all-valgus flat feet.
View answers in a row (- a valgus deformity of the foot (flat feet) is the most common type of valgus deformity of the feet. It is characteristic by changing the direction of the axis of the foot, and reduces its vaults. The most commonly occurs in childhood. The main reasons:
When valgus deformity of the big toe the feet occurs a change of the metatarsophalangeal joint, thereby the thumb pushes inside. When it also disrupted the position of the other fingers.
Among the reasons for the valgus deformation of the big toe of the feet:
When this pathology is observed weakness of the ligamentous and muscular apparatus of the foot. Deformation and osteoarthritis of the joint of the first finger causes excessive and uneven load on the front of the front legs, which is compounded by wearing shoes with a narrow nose and/or high-heeled.
Manifestations of this disease are the formation of "blister" in the area of the modified joint, changing the position and shape of the rest of the fingers. It is accompanied by pain in the joint and stop the rapid fatigue of the legs. In the area of the "bumps" noted redness, slight swelling .The degree of severity of the deformity:1. Deviation of the thumb toward the outside up to 15 on .2. Deviation of the thumb from 15 to 20 on .3. Deviation of the thumb from 20 to 30 on .4. Deviation of the thumb more than 30 of the .In 3 and 4 the degree of deformation perhaps the development of complications, such as:
The curvature of the finger is preceded by the discomfort of wearing shoes and the appearance of pain when walking. Due to the deformation of the joint occurs to change the legs, the emergence of exaltation in the middle, where easily arise painful calluses and corns. The second finger of the foot, too, is changing, has the shape of a hammer, it also formed ' with your fingers on the legs. Similar symptoms may occur in some other diseases: deforming arthrosis , arthritis, gout . Find out the cause of the formation of "bumps" and pain, it is necessary to seek the advice of a podiatrist . After inspection the doctor will prescribe you the x-ray examination (picture of the foot in three planes) and planotography. As a result of further development of the defective process in the untreated valgus deformity in many patients develops chronic bursitis (inflammation of periarticular bag) and the disease Deutchlander (change in the structure of the bones of the hock).
Treatment of flat feet - it is a long and time-consuming process. It should be the constant wearing orthopedic shoes with a solid back, a special orthopedic insoles (better made to order), management of regular courses of massage and therapeutic physical training.
Conservative treatmentFor non-surgical treatment of valgus deformation of belongs to wear orthopedic arch support and night tire, insoles, interdigital seal, physiotherapy treatment, physiotherapy for the fingers of legs and feet. To reduce inflammation applying intra-articular introduction of diprospan , hydrocortisone (hormonal drugs). Conservative treatment does not lead to complete recovery, is used only in the early stages, and as a preoperative preparation. Surgical treatmentThere are a large number (more than 100), the method of surgical treatment of valgus deformation. The main of them are listed below:
However, it is necessary to take into account that in some patients there has been a re-formation of "blister". In the postoperative period, patients are forced to a longer period of time to limit the physical burden on the feet. This creates some inconvenience. Currently use less traumatic methods of surgical treatment of valgus deformation, which significantly reduces the time of postoperative rehabilitation.
On the second day after the operation is enabled, just move your fingers. Walk without stepping on the operated area, it is possible after 10 days. The load on the whole foot can be put only one month after the treatment. Over half of the year in the successful course of the postoperative period is allowed to practice with the load on the legs, and wear high-heeled shoes. An effective method for facilitating rehabilitation after surgical treatment of valgus deformation is considered shock-wave therapy, the effects of which focused on the improvement of blood circulation in the tissues and also to reduce swelling and pain at the site of the operation.
When the valgus deformation of the first finger of the feet, the shoes should be soft, with a wide nose and a low heel (under 4 cm). View answers in a row (in-valgus deformation of foot is necessary to wear a new pair of shoes with a high and firm back, to 3 cm above the heels, with a thick and a high instep.
For the correction of deformities of the forefoot are used by different types of insoles and half-wax. The best suited shoe insoles made to measure. With their help, reducing the load on the joints of the lower limbs, improves the blood circulation of the soles of the feet, reduces the feeling of fatigue in the legs. Sometimes the insole is difficult to summarize in your shoes, and especially the standard. Therefore, with the aim of correction of pathological disorders in the stop can be used half-wool - short variant of the normal insoles (without the front department). In some mild cases, the orthopedist may authorise the wearing of orthopedic horseshoes.
1. Course of massage varies from 10 to 20 treatments, at an interval of about 1 month. Massage affects not only the shins and feet, but also my back and thighs, t. considerable importance for the condition of the whole muscular apparatus involved in the movement. 2. You should start with the lumbar. Movement - stroking and rubbing, from the centre outwards. 3. Furthermore, it is necessary to move to the area of the buttocks, where it uses a circular stroking, rubbing and kneading, effleurage and stroking. 4. On the back side of the thigh produce intense friction from the knee joint upwards on the thighs, reading and stroking. 5. The tibia is carried out massage in different ways, on the inner and outer surface. All the tricks (rubbing, kneading) inside are carried out intensively and external - gently. It allows you to stimulate the internal muscles and relax the outer, which leads to the correct installation of the legs.
Valgus deformity of the forefoot in children is represented by basically mark all-valgus flat feet. When it is observed the deviation heels outwards, the emergence of pain with prolonged walking and increased fatigue. When time started and regularly maintained by the treatment can achieve full restoration of the state of the feet. For the determination of the extent of disability and determination of treatment it is necessary to consult an orthopedic surgeon.
For the treatment of valgus deformation of foot in the child it is necessary to pay attention to the posture of the little patient: in a standing position feet should be closed - this reduces the load on the joints and feet. The length of walks should limit. Good effect on the installation of the legs:
For the correction of the adjustment of the foot should wear orthopedic shoes with a high rigid back or inserts. Right pick you can help the doctor-orthopedist. Shoes should sit well on the leg. Do not wear shoes, already ex-used. At home, you can walk without shoes. Massage is the best influence on the process of healing. To perform its necessary regular courses. Very important is the healing of physical education, exercise should be carried out daily. It is better to submit in the form of a game, to the child with pleasure they served. From the exercise it is necessary to mention this small objects and crushing towels fingers feet, rolling sticks feet, walking out of position "in Turkish". When the ineffectiveness of the implemented treatment resort to surgery. For this purpose they spend varising osteotomy. During the operation of the bone (in a valgus deformity of the tibia - is it hip) cuts out a wedge. The bone is connected by means of screws. After the operation use the device for external fixation of bone, the osteosynthesis by the method of Ilizarov. Before use it is necessary to consult with an expert.