Valgus curvature of the foot in a child — it is quite a common phenomenon. However, not all of the curvature in toddlers should be considered a pathology. In most cases the defect is with the age corrected themselves, but the process is the need to keep under control. If the deformation is a morbid deviation from the norm, then it is necessary to carry out special treatment, and even surgery in case of extreme necessity. States form of the disease with years can bring a lot of problems and complications.
In the general case the curvature is abnormal development of the limbs due to the deformation of the joints in the inner direction. Valgus deformation of the lower extremities can be congenital or acquired nature:
The mechanism of occurrence of the curvature of the extremities in children is based on a certain abnormal process. In any joint of the foot intrinsic muscles, bones develop faster their external elements, which causes an increase in joint space in the inner zone while reducing its size in the outer direction. As a result of this learning defect is sprains, documenting the joint from the inside.
Valgus deformity is most often exposed at the knee joint, the feet and toes. Somewhat less found in violation of the femoral bone and the tibia. Finally, the knee of the baby distorted, it becomes evident visually.
It should be noted that the majority of child defects of the lower extremities do not have a defective character. They lead to a slight curvature, and what is most important — do not advance, and with the age of the self eliminates. Special treatment in such cases, it is not necessary, but it is necessary to control the process from the side of the children's orthopedist.
Pathological deviations are identified on a significant deformation, which gradually increases. Cause incorrect redistribution of the load when walking, and ultimately can lead to serious joint violation, and up to the limit of the mobility. It is necessary to treat in the early stages.
Valgus deformation of the knee joints in children is considered to be the most common pathology. This causes the X–curvature of the legs. Vividly bringing it to my attention and at the same time along the knees in a standing position. In the presence of deformation between nohymu arises a gap, the value of which, and points to the degree of curvature. Non-hazardous deformation driven by lateroposition the quadriceps muscle and is characterized by a deviation from standards of more than 5º, with a gradual increase to 6–7º (no more). The clinical indication of the pathological deformations recognises the availability of a distance of more than 5-5,5 cm between the inner sides of the feet.
The innate nature of the deformation of the knee joints is determined relatively rarely and are associated with abnormal development of the hip, foot and shin. This pathology can have one - and two-way character. For children is more of a specific acquired form of the disease, most often fruiting in the period of the initial attempts to separate verticalization and walking. Such actions cause considerable load on the knee joint, and complete the formation of the muscles and ligaments of the child has not yet been completed.
The most common reason of the defect — instinct, which is widely arrange legs in an attempt to keep balance. No pathological changes should be downloaded to 8-10 years, and when the deformation is reduced to this age, it is necessary that the treatment measures.
Valgus deformation of the knee joint in children can cause the following factors:
The main symptom of valgus deformation of the knee joint — the marked X–shaped curvature of the legs, which leads to rapid fatigue when walking, and pain feelings. The progression of the pathology is directed toward eversion of the limb at the knee joint, which can cause flat feet, change of gait, development of scoliosis.
Valgus deformity of the forefoot in children is expressed in violation of the provisions of the foot, and in the rejection of its feet inside. As is known, in the standard angle at which the dog is relatively lower extremities, equal to 90º, and when the pathology is different from the direct angle. As a result, the deformation of the shrinking of the state legs and shifted its axis. When viewed from above on the soles of the feet to see the X–curvature. Another common option is to mark all–valgus deformity or flat feet.
Can distinguish the following basic causes of the incidence of valgus deformity of the feet in children:
Quite often in children detected a valgus deformity of the fingers feet, with most suffering from thumb. This defect is caused by pathological changes in the metatarsophalangeal joint which causes the big toe to bend inward. It is natural that gradually disrupted the direction, and the other fingers of the feet. A typical manifestation of the disease — the emergence of a "blister" in the joint, which causes pain, swelling, rapid fatigue when walking.
In more advanced stages, it is possible these complications:
Uncontrollable progression of the pathology can cause the blisters and the disease Deutchlander.
Curvature of the legs in a child can cause a deformation of the hip joints. Thighs most often suffer from as a result of congenital disease. One of the most common reasons is considered a dysplasia of the hip joint to a varying extent. The problem is, that in children is this type of deformation is difficult to detect visually, only after the 6-month period is diagnosed by the method of ULTRASOUND or x-ray. A Valgus deformity of the femoral neck determines an increase in cervico - -diaphyseal angle. Usually this disease, a valgus deformity of the lower limbs and flat feet occur together.
The defeat of the ankle joint is demonstrated by a clear shift of the heel out and shift the legs to the inside, that often provokes mark all-valgus flat feet. This valgus deformity in a child responds to intense pain syndrome when the movement of the lower limbs and feet. In the initial stage of the pain quickly stop, then with the progression of the disease becomes more prevalent and accelerating. The child appears stiffness in the lower part of the legs, so it is difficult, the usual movements.
If treatment is valgus curvature initiated in a timely manner, then it is the removal of glitches can be the conservative way. In the running form used operative treatment as a necessary measure. Conservative exposure is ensured in the following ways:
In the running stage of the pathology, when appears the actual risk of complications and in cases where the therapy turned out to be impotent, the treatment of valgus curvature of the limb is ensured by a surgical way. Before this intervention the diagnosis determined with the use of modern methods of diagnosis - computed tomography, and MRI.
Valgus curvature of the foot in a child requires careful together relationships. Most of these disorders requires special exposures, and resolve with age. However, pathological deformation of the run does not. Their treatment in the early stage of the disease is secured by a conservative method, but complicated forms lead to surgery.