Hallux valgus in children

This is the pathological change in the direction of the axis of the lower limb can be the development of flatfoot. Gradually, regular exercises, treatment procedures, the position of the heel can be corrected by forming the correct placement of your feet; if you have hallux valgus in children is not treated, it can lead to irreversible changes in the musculoskeletal system. Therapy pathology takes a lot of time and effort, but the daily tasks, your baby will reward you with a nice posture, correct foot arch.

What is the foot valgus in children

Error of the foot characterized by reduction in the height of the arches, x-shaped curvature of the axis of the limb, the so-called "valgus installation stop the children." The pathology of the kids celebrate turning the corner, and fingers passive, drooping, the middle class, the legs, clumsiness of gait. If the child is straightened, and then compress the knee joint, the distance between the inner side of the ankle not more than 4-5 cm, the inner arches are "filled" inside.

How many years old it is obvious

All newborns have flat feet is the norm, as the kids still can't walk, tendons, bones, and tendons need to learn how to test the load. As soon as the child begins to stand up, rely on your feet and walk, which reinforced legs. When the arches don't have the established structure, or for a long time I didn't see the doctors a provisional diagnosis of "hallux valgus". Noticeable changes of about 1-1.5 years.

The first signs which suggest that it looks like the curvature of the foot, there is an urgent need to show the child the doctor because pathology tends to progress. If not treated, the disease, the situation is only gonna get worse, that the development of more serious problems. The doctor will examine the health of the baby and determine what therapeutic measures would be optimal. As a general rule, to resolve this problem, use the conservative methods, surgery is resorted to rarely, only in severe cases.

Flat feet in children - causes

The pathology can be acquired or congenital in nature. In some cases, the formation of hallux valgus in children contribute to the parents themselves, don't want him in the legs learn to walk. A weak musculoskeletal system, the baby is not yet ready for such a landing, which develops from deformation processes. The first step the child needs at that age, when the body will be stronger, ready (about 10-12 months).

PLANO deformity of the foot in children

Congenital

To provoke the appearance of a pathology can be genetic predisposition, or any diseases of the pregnancy. Congenital deformity of the foot in children is usually diagnosed with the doctors at an early age of the child (in the first months of baby's life). The most dangerous kind of congenital abnormalities can be considered not to swing on a vertical RAM. The diagnosis of this type requires surgical intervention.

Purchased

The error of the foot can occur due to a failure, underdevelopment, the tendons, ligaments of the leg, in addition, the curvature of the limb sometimes there will be a low muscle tone child. The baby's legs can grow wrong, to these factors:

  • prematurity;
  • the overweight newborn;
  • fetal malnutrition;
  • scoliosis;
  • polio;
  • rickets;
  • accustom to the walking toddler early age;
  • Paralysis;
  • congenital weakness of the connective tissue (formed in utero);
  • myodystrophy;
  • dysplasia;
  • long legs in plaster after suffering injuries;
  • diabetes;
  • polyneuropathy;
  • infectious, viral disease;
  • two different shoes (not appropriate to record the corner, too soft);
  • congenital dislocation of the hip.

Symptoms

Upon the occurrence of hallux valgus parents the symptoms of the disease, as a rule, only when the baby starts his first steps. And most children, as you gain walking skills symptoms of rejection disappears. The other thing is, if the child long walks, alone, the symptoms continue. In this case, the child needed to see a doctor. The most common symptoms of the curvature of the ankle joint:

  • the baby does not occur, the entire surface of the foot while walking, but only in the inner arc;
  • noticeable clumsiness, gait;
  • the child gets tired of walking.
  • steps crumbs uncertain;
  • the shape of the legs, X-shaped;
  • when I heard the mix.
Symptoms

How does the curvature stop the child

An incorrect setting that is not a baby may be the changes, such as changing the position of the fingers and heel while bending (look outside). The average part of the foot sags, in which the foot position is unnatural. The children's limb lesions, marked curvature of the legs due to the deformation of the knee joint: if they are together, the inner edges of the ankle remains relatively large distance from each other (4-5 cm).

Curvature occurs due to the deformation processes, the end of the arch formation or other disorders of the musculoskeletal device. The problem is visible if you look closely, the legs in the crumbs: when they kept the knee bent X-shaped manner. In most cases, this pathology is congenital, the youngest you, as evidence of insufficient development of the musculoskeletal system.

If the 5 year old the problem is, I hope, that it will pass, without a reason, because the baby's legs at this age are aligned. Later bending, the stop child requires special time of the treatment, otherwise the disease leads to deformation of the knee joint pool, which can cause curvature of the spine, and other serious back problems (lower back pain, deformation of vertebrae, etc.).

The developmental stage of the pathology

Disturbance in the development of the limbs if not treated, will gradually deteriorate. The next stage of the disease:

  1. A mild form. The deviation is not more than 10-15 degrees to the norm. At this stage, the chain can't simply be solved with the help of special orthopedic insoles in shoes.
  2. In the second stage the deviation in the position of the legs is equal to 15-20 degrees, therapy include the conservative and therapeutic interventions.
  3. In the third stage, a noticeable deviation from the common within 20-25 degrees. Treatment in this case, the comprehensive, long-lasting.
  4. Severe degree of curvature of the stop characteristic deviation greater than 30 degrees. The treatment includes conservative methods, not all therapy is effective, therefore carried out a surgical intervention.

How to diagnose the curvature of the leg of a child

Curvature is not diagnosed by careful examination, pediatrician, however, to confirm the diagnosis, the child saw a specialist orthopedics. Usually for this purpose he ordered a number of additional studies:

  • Ultrasound of the joints;
  • x-rays of the three forecasts;
  • computational study of the footprint (track) stop;
  • computer research it.
Diagnosis

Computational study of the footprint (track) stop

Use this diagnostic test it is possible to calculate the morphological parameters of the stop. The procedure to determine the pathology of the footprint. Child's pose on the glass floor scanner, barefoot, and then a test. As a result,the screen of the computer you see the podiatrist that can evaluate the condition of your feet a little patient with the diagnosis.

Computer research stop

The procedure is necessary to assess how evenly distributed the load more than the legs. Computer research not gives the opportunity to identify pathological changes in those cases when the baby is not yet manifested the clinical symptoms of hallux valgus. The clarification of the purpose of the child-an orthopedic doctor may prescribe additionally conduct ultrasound of the joints.

X-ray stop

Diagnostic method helps to identify the location of the stop relative to each other. The x-ray is a noticeable decrease in the height of the arch, of the offence, the back, the front, the middle classes, the legs relative to each other. In addition, this diagnostic method helps to identify the deformation of certain bones, the joints of the Tarsus.

Ultrasound of the joints

In certain circumstances, requires ultrasound of the joints. The study in the supine position of the patient, while the lower limb is placed in a roller. Ankle smeared with a special gel, which provides good contact with the sensor skin. The device emits high-frequency pulses by which the screen of the ultrasound machine visible tissue. This diagnostic method helps to examine:

  • Lower leg bone;
  • ankle joint;
  • muscles of the leg;
  • bundles.

Treatment of hallux valgus in children

If you don't immediately start with the treatment of pathology, the child develops flat feet, there are other diseases of the musculoskeletal system. The goal of treatment of PLANO-valgus of the foot to restore normal form, function. In addition, certain physiotherapy and exercises to strengthen the ligaments and muscle tissue. If you have received a form of the disease, the children from the beginning of the therapy conduct courses of massage, a foot bath, treatments, paraffin, electrophoresis, electrostimulation, magneto therapy, etc.

The treatment of hallux valgus

The congenital deformation

When applying the plaster bandage, the doctor pays great attention to the formation of the projections, the deepening of the lower leg. The tips of the fingers remain free, able to check the condition of the circulation. After 5-7 days the dressing is removed, and carried out manual correction of hallux valgus. After introduced a new retaining clip for the fastening of the reached result. The procedure is repeated until the complete correction, the foot valgus.

Foot baths, therapeutic swimming

The correction of the foot, and the formation of the arches, in good shape, the baby is encouraged to practice swimming. In the absence of the ability to use the pool, you can perform certain exercises at home in the bathroom.

Massage hallux valgus in children

This method of treatment has a restorative effect, improves the muscle tone, increase joint mobility, promotes healthy nervous system development.

Physiotherapy

Listed below therapeutic methods are used as backup. They activate the metabolic processes in the tissues and improves the flow of nutrients. The choice of the physiotherapy procedures performed by a doctor, the maximum efficiency is different:

  • Electrophoresis.
  • Magneto therapy.
  • Paraffin.
Physiotherapy

Exercises, physical therapy

The corresponding deviations of five experienced pediatricians also recommend physical therapy. Practice correction hallux valgus foot is very simple. The main condition is to achieve positive results, to participate in the child on a regular basis.

Surgical correction

The surgery of the hallux valgus foot is used very rarely (only 7%). The surgery can also be ordered individually strong to severe disease. The most common methods of surgical treatment:

  • the transplantation of the tendon of the long fibula muscles of the inner part of the legs, the lengthening of the Achilles tendon;
  • the imposition of external fixation of the foot.

Wearing orthopedic shoes

The children's illness, the legs definitely need to wear the medical, orthopedic shoes that can be chosen individually. The peculiarity lies in the fact that the fixing of the feet with the help of special insoles, arch supports, small stable heel, hard behind her back. The correct shoes decision, not the parents, as well as a podiatrist, who talks about the duration of wearing (continuous use orthopedic shoes muscles atrophy). When valgus deformity of the feet shoes must comply with the following requirements:

  • the appropriate outsole, the presence of the Thomas heel, the inner which is slightly longer than the outer;
  • soft upper edge;
  • a convenient clasp fastening screw on the legs, well, but not humiliating him;
  • the back side should be relatively hard, as well as to allow for fixation of the ankle and the metatarsal joints;
  • the smooth surface of the insole;
  • genuine leather inside and out.

Prevent the foot valgus, forecast

Foot Valgus in severe stage, if not only cosmetic deformity, but also causing the functional impairment of the limb, until the disability at a young age. To avoid this, the kids are 7-8 months to avoid strain on the lower limbs. In addition, we recommend the following preventive measures:

  • compliance rational system;
  • nutrition;
  • the gym;
  • workout;
  • the good night's sleep;
  • vitamin D, as well as the necessary trace elements;
  • regular, timely visits to children's doctor;
  • the correct choice of boots (even healthy babies to wear shoes, orthopedic insoles).
10.08.2018