Valgus deformity of the tibia

Valgus deformity of the tibia characterized by a X-shaped legs, the result of the weakening of the muscles, ligaments. An infringement may be the root cause of the disease, the spine, the error of the internal systems and organs.

valgus deformity of the tibia

Features of the development of hallux valgus

Valgus deformity of the tibia in children can be congenital or acquired pathology. The main changes occur in the knee joint of a child, visually, overextension of the leg, the deviation from the corner out.

The main reason for the curvature of the foot and the lower leg in children:

  • Genetic services;
  • Abnormality of the tibia;
  • The infringement, the integrity of the bone, cartilage;
  • Inadequate absorption of useful elements;
  • Inflammatory or infectious processes;
  • Severe trauma to the extremities;
  • Childhood rickets;
  • The excess body weight.

In such circumstances, smaller congenital lesions, the children are able to deteriorate, increasing the depth of the face curvature. Subsequently the pathological processes in the joints of the knee, swimming pool.

Deformity of the knee – the presence of a gap of more than 5.5 cm between the inner side of the foot. A congenital abnormality in children is rarely diagnosed, often the incorrect fetal development of the hip, leg, Shin.

Common causes of hallux valgus of the lower limbs is a natural instinct, forcing you to spread your legs to try to maintain the balance. This is not round with minimal I deviation disappears in 8-10 year-old child's life.

The disease in childhood occurs due to the increased load on the legs, portu me at the beginning, accelerated the process of walking the baby, because the inherited weaknesses and the underdevelopment of the ligaments.

Symptoms

Hallux valgus of the tibia in children is not just a cosmetic error, but significantly reduces the quality of life. The development of the disease the person, the difficulty of the move, the gait is clumsy, as is accompanied by the following symptoms:

  • Persistent aching feeling in the limbs;
  • The impairment of blood flow – cyanosis of the skin, the appearance of varicose veins;
  • The fatigue, the motion process;
  • Swelling of the calf muscles;
  • Shuffling feet while walking.
valgus deformity of the tibia treatment

The incorrect loading of the joints, the children gradually destroyed. If you don't therapeutic measures to eliminate the disease, the patient loses the ability to move.

Photo of valgus deformity of the tibia seems to be X-shaped curvature when it is impossible to reduce the knee. There is an apparent offset of the axis, the limbs, the distance between the inner ankle is bigger than 5 cm

If the infringement

In the early stages of the disease, a derogation to the tibia outwards should not exceed 10-15 degrees, the second – more than 15-20 degrees. Severe curvature of the diagnosed deviation to 20 degrees.

Treatment of the pathology

After the test, a podiatrist, carrying out x-ray of the leg, the two projections of the diagnosed disease. To identify the cause of the strain can be on the ultrasound test, blood test, checks the work of the kidneys.

Principles of treatment of valgus deformity of the tibia in children and adults:

  • To eliminate the painful symptoms you are assigned to orthopedic events – using corrections on the mounting rubber, orthopedic shoes. It is important that the back is flexible, resistant, heel not less than 5 mm, wide toe box, personalized insoles;
  • Stabilize the joint, and strengthens the muscle corset of the child required therapeutic massage – at least 20 sessions in a month, the intensity, the effect of the damaged zone increases gradually, using techniques stroking, rubbing, vibration, tapping, massaging the pizzicato movements;
  • Physiotherapy effect stimulation of the plantar muscles, improves blood circulation, supports the physiological position of the feet while moving;
  • Therapeutic exercises – number of exercises, and the regularity is determined by the physician. When valgus deformity of the foot, the ankle, the children will practice the bending means, the ankle, rotate your foot, in the time we've got long toes a small object, squat, with the haunches, walk to the spring side of the leg.

In special cases, when correcting the pathology of the conservative methods fail, surgery will be the planned osteotomy. The removed part of the femur, other parts use. Used compression-distraction inside: you can set the device Elizarova, to establish the appropriate angle between the bones of the foot and lower leg.

After the surgery for 2-3 days, cooling, pain relief, the operated leg to walk, the sick will receive a special Walker, and later crutches.

Complications after the surgery, rarely – may be bleeding due to cuts in the blood vessels, the accession of secondary infection, severe pain when walking.

Through operation it is possible to obtain an excellent result, although perhaps recurrence of the disease in the absence of the implementation of preventive measures, the excessive load on the lower limbs.

The surgery in childhood, adolescence is not usually used, most often shows that the elderly, when the curvature of the tibia, accompanied by inflammatory processes, abundant swelling, coordination problems.

Prevention

It is possible to prevent valgus deformity of the tibia? To the legs of the child physiologically correct development it is important to saturate the diet of the baby useful nutrients and extra vitamin D to avoid rickets.

The first small step to purchase quality shoes, to avoid excessive load on the femur, tibia, at the age of 7 months. Beneficial to foot massage, thermal bath, with the addition of pine extract, decoction of herbs.

Have a positive impact on the installation of legs:

valgus deformity of the tibia exercises
  • Swimming;
  • Cycling;
  • Skiing, skateboarding;
  • The game of football;
  • Up the stairs, on the wall.

The warm season is useful to walk barefoot in the grass, gravel, sand, dirt road. It is important to avoid hypothermia or overheating of the limbs that does not exacerbate the disease.

The smallest sign of curvature, it is important to seek help to the doctor– self-treatment can lead to disability, death (the development of thrombophlebitis, scoliosis, disorder of the internal system of the bodies).

Timely treatment of hallux valgus of the lower limbs allows you to avoid the surgery, can eliminate the fatigue, injuries, the feet, the problems of the musculoskeletal device.

14.09.2018