The valgus deformation of the thumb of the foot is the most obtained deformation of the foot characteristically characterized by the side of the thumb.
Bilateral in pathological nature, mostly affects women aged 35.In most cases, the deformation is accompanied by deformation of the joint bag of the joint bag and the deformation of the first metatharetal bone's actualization deviations.
The causes of the disease.Why is it dangerous?
Ethiological reasons for the thumb of the leg's thumb are not yet fully studied.There are several theories that occur:
- Vestigial theory.In the middle of the 19th century, only the models were believed that this deformation was found to be deformed, due to the use of high-level model shoes, this pathology was found in men wearing this pathological, straight-barrier shoes.
- The theory of primary muscle weakness - was denied in detail of the problem.
- The lack of a ligamament device's weakness and the only elmers of elm society - most scientists follow this theory.
There are a number of factors that cause this pathology:
- The weight is already loaded on the feet.
- Age-corrected doprophic changes.
- The weeks of heeled shoes were narrowed from 5 cm to the finger.
- Available deformations of the skeleton (scoliosis, valgus deformity, femur and knee combinations, straight legs).
The pathological hazard causes this deformation to deform this deformation, the proper distribution of loading during a walk and injures the muscles of the foot significantly, which significantly worsens the welfare of the foot.
Clinical manifestations
At the beginning of the disease, Valgus deformity does not show itself clinically.Most of the most women's appearance of the foot, the growth of the metacarpal-Phalix combination and the advantage of the first finger.
In the course of time, painting in the pain, first of the pain, then the pain is a constant, pain.
The weight occurs by the first and second finger in the bottom, due to the wrong spread, the second finger is lifted, "Malleus" turns into a walk.In the front of the foot, arthrosis and chronic bursites are developed due to the deterioration of blood circulation and innervation.
Diagnosis
- During the objective examination, the distal part of the foot was widely visible by the stalk of the thumb valgus.In the project of the head of the first metatarcal bone, there are skin hyperemia and fat, pain, pain during balp.
- X-ray of foot in two predictions.The front projection determines the status of the metacarpal-phalan combination, the displacement of the SESMAMOID Bone and the rate of straight legs is visually and calculated, which often occurs with the valgus deviation of the first finger of the leg.
- Plantography.In printing the foot in the paper, a line between the heel and fourth and third fingers, the outer set of foot, the outer set of foot and degree is assessed.In these patients, a leg or straight legs of the 1st degree are more detected.
Treatment and prevention
Depending on the severity of the process, conservative or surgical treatment is carried out.
Conservative treatment is carried out in a moderate phase of the disease, and various types of orthopedic traces are used separately and are normal to the deformed finger, and the load on the front of the limb is stable and distributed.
Distal limbs are used in children and the elderly, the intercourse of distal limbs between the first and second finger.In order to reduce pain, sea salt and soda are used in hot baths, radon baths give good results.
Bursites are used with compressions with local anti -infulamium gels, dimensions and lidocaine and are used in the intustrial injections of the pronounced pain, novocainl blockade and glucineortoidoids.
It is possible to surgical treatment at any stage of the disease, it is implemented within local anesthesia, which reduces the list of reverse instructions for operation.
In the 1st phase, bone-cold growth is removed on the inner edge of the bone, but it is possible to reduce the pain of the process, but it is impossible to prevent the development of deformation in the future.
With a violent deviation of the finger with the help of a flat legs, a osteotomy is carried out in the lower part of a bone of a bone, with the help of a lavsan tape, with the help of a lavsan tape, the transverse ligament of the bottom.After the operation, the foot is tightly stabilized in a bandage in 4 weeks, is recommended to use individual orthopedic traces throughout the year.
Prevention of the disease is to use comfortable shoes without high heels, shoes should sit free, a narrowed leg should not cause trouble.If there is any deformity of the skeleton, it is recommended to hold preventive examinations in the orthopedist to determine and slow the development of meat.
Results and complications
The complicity of the process is the development of "March" of the foot, which is characterized by acute pain due to the mycuts of the foot and tendovajajajajajinite.
According to a regular inflammatory process and mechanical damage, the bone has a risk of developing malignant neoplasms.