Expressed by the curvature of the legs is visible to the naked eye, it makes it difficult to move and leads to disability. The deformation of the belly in children treatable. Therefore, it is appropriate to diagnose the disease in early stages. The treatment of this disease deals with the orthopedist.
The curvature of the knee is one of the most common pathologies in the orthopedic diseases. It can be of 2 types: X - and O-shaped. In most cases deformation occurs during the growth of the bone tissue, therefore in the children's age. Sometimes your knees bent in elderly people. It is related to an increased load on the musculoskeletal joint system and the development of osteoporosis. Early treatment of the curvature gives a positive result. However, if you do not take measures, the disease can lead to disability. Curvature of the legs in the form of letters is called a valgus deformity. It can be both two-and one-sided. Diagnosis is established on the basis of the inspection and measurement of the distance between the legs. When valgus curvature that is not less than 5, refer the Patient should limit the feet and stand exactly in the time of distance measurement.
Varus deformation is a O-shaped curvature of the knees. The reason for its development in the weakness of the skeletal system. How and valgus curvature, varus deformity may occur at any age. In both pathologies require treatment by an orthopedic surgeon.
Valgus deformation of the knee joints-it is not an independent disease, but a consequence of some unhealthy condition. Curvature always arises on the background of the pathology of bones. The reasons for the development of deformities of the knee include:
Valgus deformation of the knee joints in children often occurs on the background of rickets. This disease is characterized by a lack of acceptance in the body cholecalciferol vitamin Village because of the lack Of this substance bone tissue becomes not until the end of the young. As a result, all physical activities in childhood lead to the curvature of the large joints, especially the knee complete the joints. Most often, the deformation becomes noticeable at 2-3 years, while walking the child is already created.
For congenital anomalies include shortening of the femoral muscles, curvature of bones of the tibia and the backwardness of the knee joint. In the identification of these developmental defects is necessary in time to start the treatment at the orthopedist and control the physical load, the deformation progressed.
Because of the large pressure on the knee joints of curvature can occur in children suffering from rickets, and abnormalities of development. The fact is that the cartilage and muscle tissue grows slower than bone. So the skeletal musculature and the ligamentous apparatus will find themselves weaker. A constant load leads to a gradual deformation of the bones of the lower leg and thigh.
In some cases, can occur valgus deformation of the knee joints in adults. More often it happens in people suffering from malnutrition thigh muscles. Weakness of the muscles of the legs can occur after the delegated neurological diseases, such as stroke.
In women, deformation of the knee often occurs in the period of post-menopause. In advanced age due to lack of sex hormones, osteoporosis develops. This pathology is associated with the washing of calcium. Due to its lack of bone tissue becomes released and breaking. Therefore, habitual physical activity can lead to curvature of the load-bearing joints. In most cases deformation occurs in people who have an increased body weight.
Risk factors for the development of the curvature of the valgusa knees are pathology of joints and bones. Among them, chronic inflammation of the knee finishing the joints (arthritis). The most commonly occur on the background of the injury or infectious lesions. Another common pathology, leading to the deformation, is it gonarthrosis. It is characterized by changing the structure of the cartilage. To the specific pathologies of the deformation of the knee include gout, diseases ankylosing Spondylitis, rheumatoid arthritis and other systemic lesions of connective tissue.
Valgus deformation of the knee joints is divided into several stages. It depends on the location of the mechanical axis relatively of the lateral condyle. Set the degree of curvature it is possible to radiology image. In addition, the physician measures: on how many degrees the tibia is rejected towards the outside. Issued the following stage of deformation:
Determination of the phase of valgus deformation of the strain is necessary. Since the degree of the severity of the curvature depends therapeutic tactic.
Parents often ask the question about when he will begin to show a valgus deformity of the knee joints in children? The age of the child it is important to take into account when determining the diagnosis. Because in children under 2 years, a small deformation of the knee option is considered to be normal. This is due to the age peculiarities of the muscular system. The symptoms of valgus deformation of the knee include:
It is important to timely notice that the child has a valgus deformity of the knee joints. Photos of this curvature can be seen on a medical website or in the literature of pediatric surgery and orthopedics. If it is changing the shape of the feet resemble the observed in the images of the pathology, it is worth it to contact the doctor.
In addition to the symptoms listed above, are the marked symptoms of the underlying disease. When rickets in children of an early age are experiencing hair loss occipital region, flattening the abdomen and chest. The big spring on the head for a long time is not overgrown. Rickets is often combined with anaemia, manifested by blanching of the skin, weakness. Valgus deformation of the more vulnerable children who have increased body weight.
The way to draw attention to the valgus deformation of the knee joints? X-ray is considered the main method for the diagnosis of the curvature of the legs. After obtaining the images the doctor performs the mechanical axis of the limb and determines its position. If the line is rejected from the middle of the knee joint, this means that they have curvature. To suspect a pathology, just look at the shape of child's foot and measure the distance between the ankle when closed feet and stop. On the radiology image to be measured one more indicator of the angle of deviation of the bones. If there is more than 10 degrees, the curve is available.
In addition to the detection of the deformation it is necessary to establish its cause. For this carry out laboratory diagnostics. It is important to determine the levels of calcium and phosphorus. For the exclusion of joint diseases and to carry out biochemical analysis of blood. Assesses such indicators as the presence of C-reactive protein, rheumatoid factors, uric acid levels.
The timely the help of a doctor when a valgus deformity may lead to complete correction of the shape of the foot and to stop further curvature. When expressed rejection of the knee perform the surgical procedure. The conservative treatment include:
In addition, an important causal therapy. Children under 3 years should receive vitamin D and spend time in the sun. Adults, which notes the lack of calcium, prescribe this mineral in the form of a tablet.
One of the main ways of treatment is massage. Valgus deformation of the knee joints in the early stages of in children is able to completely disappear due to mechanical action on the muscles and movement therapy. A course of massage should be 2-3 weeks. Then make a break for 1-2 months. After a course of treatment again. Massage involves the stroking and rubbing of the lumbar, sacral department, on the back side of the shin and thigh. Then they carried out various passive movement in the legs, which focus on the change of position of the joint. During the massage it is necessary to pay special attention to the internal condyle. Should try to gradually bring it to the normal position.
Exercises play an important role in this pathology, as a valgus deformation of the knee joints in children. The treatment brings a positive effect. The complex of exercises includes active movements in the joints, circling the legs. It is recommended to walk on socks, squat with divorced your knees, sit in the Turkish language. Regular exercise and massage lead to the correction of the shape of the foot for 4-5 years.
Surgical treatment is indicated in severe degree of deformation. A similar method carried out, if other ways have not yielded result. Surgical treatment consists in the artificial turn of the bone and fixation of the joint in the desired position. However, these operations cannot be carried out in the period of intensive growth.
To valgus deformation of the knee joints are not developed, it is worth to observe preventive measures. These include:
Adults are recommended to control body weight, upon the occurrence of joint pain is to go to the doctor.