Valgus deformation of the leg: causes, pictures, symptoms and treatment

A Valgus deformity of the feet has its causes and symptoms occurrence. Consider them, study the methods of treatment of this disease.

a valgus deformity in children

Diagnosis of valgus deformation of foot - the most common adjustment on the front part of the foot and toes. 23% of people aged 18 to 65 years of age and over 35% of those who are older than 65 years, have this diagnosis. The thumb extends beyond the outer edge of the foot, a bump, a gentle pressure on the shoe.

Description of the disease

Valgus deformation of foot, almost always manifests itself in variation to the outer edge of the foot. So, the tendons in his thumb legs already running in parallel. Instead, it develops a deviation from the norm. It causes growing and usually painful inflammation in the form of the extrusion joint.

View answers in a row (- valgus deformation of foot – it is a kind of deformation with the displacement of the middle part of the foot. In this celebrated twist the heel outwards.

The varieties of the disease

Diagnosis of valgus deformation of foot can manifest itself in varying degrees:

  • Beveled, socks, broth - big finger to bend, shows on the outside edge of the foot.
  • Ganglion - this is the protrusion of the joint, which causes, that push from the inner edges of the Shoes.
  • Flat feet - this is to drop the front of the arch (transverse arch).

A cosmetic or health problem

In the early stages many consider the deformation of only a cosmetic problem. Over time, the tension has escalated. But the damage to the joint and the front part of the foot continue to increase. Therefore, treatment of valgus deformity of the foot is in an early correction of the position of the thumb feet with the help of exercise on the feet, the spine or surgery.

Many of those who suffer - at least in the early stage - believe that it is a cosmetic problem, which becomes noticeable while wearing shoes with an open toe. Valgus deformation should not affect the daily life.

As it develops a valgus deformity

Often problems are caused by wearing shoes with high heels. They increase the entire weight of the body on the front part of the forefoot, boosting the pressure on the joints. The front of the arch of the foot (transverse arch) falls. The tips of the fingers lying on the ground. Stretching of the tendon leads to the fact that the thumb comes out of the joint - exactly the same as a bow, reflective piping - inside, to the other fingers.

Adjacent fingers replaced his thumb, who rushes in, and then deformed. Flexor of the thumb legs are located at an angle to the joints between. Sesamoid bones, which are governed by the tendons of the fingers the legs are located asymmetrically to the great toe, and greatly moved. Socks is spinning from the joint, exactly as is the bow more times string.

Sesamoid bones, their role

Valgus deformity of the big toe the feet leads to a change of the feet. Deformation in the bones is also very noticeable. These tiny bones freely hung in several of the tendons and form a foothold for them. Sesamoid dice, placed under the joint, usually maintain in the bend of the foot between them. In the case of a valgus deformity of these bones are shifted towards. The more he moved, the more expressed the deformation.

If these sesamoid bones no longer operate in the tendons of the thumb legs, the normal process of motion of the thumb during the walk is disturbed. More and more of the burden falls on the other fingers.

The reasons for a valgus deformity: wounds, fashionable shoes and weak connective tissue. Lifestyle, or nature? About 90% of all patients get this disease hereditary. And the reason is not just innate.

Congenital weakness of the connective tissue, is also affect the tendons. Changes in the house of the feet, arising after accidental and other injuries to the legs, for example, fractures may also contribute to the deformation. Even the inflammatory changes in the joints (arthritis) can be the cause of the deformation. Women most often suffer from more than weak connective tissue. The curvature of the posture also leads to the emergence of this disease as well as injuries. Some neurological disorders also lead to infection.

Other factors associated with stress, supports the development of deformation - with being overweight. The development of the speed of deformation increases significantly with age. However, for some very young women and also in men this disease. Then it is the cause of the disease is not intended to overload the legs and genetics.

the deformation of the feet

Peculiarities of diagnosis and treatment

Surgery when valgus deformity of the big toe your feet will be assigned after the diagnosis. X-ray shows bone pathology, which already holds the thumb between them, and instead of lying next to. The surgeon usually recognizes the deformation of the visual examination of the legs. A Valgus deformity is often characterized by markedly elevated corner. In patients with valgus hallux usually arise accompanying deformity of the foot.

The first thing to find out - is it the angle of the feet: flat longitudinal arch. Here the doctor identifies the X-position of the heel, while the sole, of the foot lies on the floor. The doctor will ask about family members, whether cases of deformation.

X-ray of the forefoot provides additional certainty in the diagnosis. It shows the exact degree of deformation.

MRI allows to detect the damage. The position of the thumb legs at an angle of within 10° is considered normal. Flaw is the angle of 16-20°. Mild deformity is a deviation from 16 to 40°.

Treatment in the early stage

It is possible to move the thumb in its normal position after deformation? The prognosis varies depending on the stage of the disease and the age group of patients. In young patients can increase the arch and fix the finger by physiotherapy exercises and conservative treatment.

In elderly patients, the deformity requires surgical intervention. Then chalk good prospects for improvement.

Operative intervention

People are in no hurry to settle with radical measures. The operation is the easiest method for the patient: incisions of the skin, scars and the use of implants be limited to the minimum development of the deformation.

A progressive course of treatment of valgus deformation of foot in the constantly increasing deformation, it is appropriate conservative or surgical methods of straightening the thumb of the foot.

What treatment is appropriate for each patient, the surgeon-the orthopedist will be addressed with regard to individual characteristics.

Requires surgical intervention when it is present:

  • Severe pain in the legs, limiting mobility.
  • Chronic inflammation, which is spread and little fingers on his feet.
  • The increased stiffness of the thumb feet with the deformation (the so-called "shortcut").

Which of the surgical methods to choose? It is possible to restore the normal state? Modern orthopedics offers several effective options.

The treating orthopedist should be with the patient, what surgical method will be applied in a particular case. However, almost all the methods of operative intervention are established on the principle: are adjusted, tendons and joint capsules, in order to straighten the toe.

Modern technology

In medical trials have been developed many different surgical techniques valgus deformity. In recent years, has been developed valgus surgical technique, which is demonstrated at the international level, but so far only done a small amount of clinics in Germany, the so-called minimally invasive surgery deformation.

Used small tools about the size of just 2 mm, similar to dental. With their use of soft-tissue injuries during operation can be significantly reduced. It reduces the healing time and the development of complications, and restoration of the wound accelerating because of the negligible soft tissue injury.

Characteristics of the disease in children

Valgus deformity of the forefoot in children is expressed in the presence of clubfoot. It's a congenital condition that affects newborn babies. Deviation has been described in the medical literature since the time of the ancient egyptians. "Congenital" means that the condition is present at birth, and occurs during fetal development. It - is not uncommon, and the incidence varies significantly among different races.

In the caucasian population of about one in a thousand babies are born with crooked legs. In Japan the numbers are one out of two thousand, and in some countries in the south Pacific ocean ill seven children of thousands.

Surgery in children

Surgical procedure tedious and complicated, but the goals are always the same. The surgeon will find and cut out all the volumes that are too thick. Ligament - connective tissue that connect the bones. When cut, which will ultimately restore the scar tissue. In the growing child this the scar tissue is able to form new ties that are not so dense.

As soon as the ligaments will be weakened, your doctor may align the bones of the legs in order. Treatment of valgus deformity of the forefoot in children requires the use of pins. Metal studs are usually used for keeping the bone in the correct position. The metal pins of the bulge through the skin and are removed in three to six weeks after the completion of the operation.

Related methods of treatment

treatment of the feet in children

Thanks to the exercises, which contribute to the free movement of the thumb, the occurrence of deformity of the foot can be effectively prevented. But very few children spend as preventive exercises to adolescence. Conservative therapy can only relieve symptoms.

Effective for the prevention of diseases is a massage in a valgus deformity of the feet. The procedure consists in the use of milling, grinding, kneading and vibration. The course ranges from ten days to two weeks. Need a break on a ten-day period. Mommy can mash legs toddler, or turn to the services of professional masseurs.

Prevention of valgus deformity

To prevent a valgus deformity of the foot in adults, do not wear shoes with high heels every day. How is it possible to walk barefoot. Do the exercises for the legs and strengthen those socks muscles.

05.09.2018