Valgus deformity of the foot in the child: causes, diagnosis, treatment
Disturbances from the bone tissue, as well as muscles and ligaments, always accompany a disease such as rickets.Valgus deformation often occurs with excessive load on the ligamentous apparatus of the foot against the background of the excess body weight( obesity) in the child.Researchers attach great importance to genetic( family) predisposition, endocrine diseases( hypothyroidism, diabetes) and osteogenesis disorders.
The cause of secondary static-dynamic pathological changes in the legs may also be:
- cerebral palsy;
- muscular dystrophy.
Valgus deformity in children is possible after prolonged wearing of the plaster bandage, as well as after traumatic sprains.Often, the pathology develops against a background of dysplasia or congenital dislocation of the hip.
Finally, the foot has the property of deforming if adults try to teach the child to walk too early.
Against the background of insufficient muscle tone( hypotension), the arch is flattened under the weight of the baby.Stretching and loosening of the musculo-ligament apparatus of the lower leg and toes makes it impossible to hold the foot in a normal( physiological) position.
Possible consequences of valgus foot deformities in children
Deformation can lead to the development of the following pathologies:
- curvature of the spine;
- flat feet;
- infringement of the form of the bone;
- pathological changes in knee and ankle joints;
- shortening of the extremities.
Severe degree of pathology - one of the causes of disability already in childhood.If the deformation is not very pronounced, and the therapeutic measures are timely and adequate, it is possible to completely restore the normal functionality of the limb.
Pediatric valgus deformity is told by orthopedists:
Diagnosis of valgus deformity in children
The diagnosis of "valgus deformity of the foot" is made by a pediatric orthopedic surgeon after analyzing the external examination data and carrying out the radiography in three projections.In addition, such methods of research as computer-aided measurement and planography are used.
The most important signs of flat-valgus deformation of the foot is the X-shaped disruption of the structure and a noticeable "smoothing" of the arch.
Note: it is difficult to visually detect the flattening of the longitudinal arch, since up to 3 years of age the middle part of the foot has a "fat pad" on the plantar part.To see the shape of the arch, ask the child to stand on tiptoe.
The X-ray images clearly show that the position of the feet with respect to each other has a deviation from the norm.
By morphometric parameters of the distal parts of the lower limbs, the computer can be used to calculate the morphology of the computer.
Podometriya allows you to determine how evenly the load is distributed to different parts of the foot.This modern technique makes it possible to identify violations before the development of the first clinical signs.
As an additional hardware research method, ultrasound of joints is also used.
To draw up a plan for the most appropriate treatment, it is necessary to establish the exact etiology, in particular, to exclude the presence of lesions of the central nervous system and peripheral nerves.In this case, an additional consultation with a specialist in the field of pediatric neurology.
Treatment of valgus deformation
With valgus deformity of the foot, the treatment has the following objectives:
- restorations of the normal function;
- rectification of the finite;
- strengthening of the ligament and musculature of the legs.
Treatment of an innate form of pathology usually involves prolonged immobilization of the legs by applying gypsum dressings.The optimal form of the dressing is determined by an orthopedic specialist.This takes into account the degree( angle) of deviation from the physiological position of the foot and the type of deformation itself.
To fix the achieved positive effect, and with the acquired disease - already at the very initial stage, the following treatment methods are used:
- massage( joints, stop and lumbosacral area);
- mud pack;
- treatment with ozokerite;
- paraffin applications;
- are legless;
- acupuncture acupuncture.
The following varieties of physiotherapeutic procedures are widely used in treatment:
- electric stimulation of the musculature of the lower extremities;
- electrophoresis with medicinal preparations;
Children with valgus deformation show swimming lessons( year-round in the pool), as well as specially designed for kids gymnastics complexes.
Often not without special orthopedic footwear, which facilitates the treatment of valgus deformation.These special models of shoes have a powerful arch support and provide a rigid hold of the foot in a physiological position.
Important: in some cases it is enough to choose individual orthopedic insole inserts in ordinary shoes.Selection of corrective models is performed by an orthopedic physician, taking into account the individual structure of the foot of the child .
Surgery for valgus deformation is performed according to medical statistics on average in 7% of cases.Indications are pronounced functional disorders and ineffectiveness of therapeutic methods.With surgical intervention, devices with external fastening can be installed.Also, subtaloral arthrodesis is sometimes shown for the subsequent fusion of calcaneal and talus bones.Widely distributed and this type of operation with valgus deformation, like the extension of the Achilles tendon.
To avoid the development of this pathology, it is necessary to completely eliminate the excessive load on the legs of the baby until it is 7-8 months old, since the musculoskeletal apparatus is not developed at an earlier age.To prevent valgus deformity, the child needs to observe the rest and physical activity, hardening and gymnastics.Of great importance is and preventive massage.The food should be high-grade, with enough proteins, microelements and vitamin D.
Shoes for the kid should strictly correspond to the necessary size and have a strong arch support.Wearing tight or too loose shoes often leads to various pathologies of development of the lower limbs and the musculoskeletal system as a whole.
Please note: when buying shoes, needs to pay attention to the strength of the side and back parts, which is important for fixing the child's foot in the normal position.Try to choose models made from natural materials.Carefully follow the baby's walk and listen to his complaints.
Early diagnostics of pathologies will allow to take the necessary measures in time and achieve full recovery.
How to choose the right shoes for the baby, says the pediatrician, Dr. Komarovsky:
Chumachenko Olga, pediatrician