Parents should pay great attention to the physical development of their children to adjust the shortcomings in a timely manner.In children, the legal deformation of the leg is often pathologenic.Although the defect is congenital or similar to diagnosis, prevention and adjustment methods.
What is the valgus and the flat-valgus leg
The term valgus doctors shows any curvature of compounds within the medium line (axis), which is noticeable to the "x-shaped" deviation.The most clear example of pathology is the bones on the thumbs (Hallux Valgus).A shortened valgus deformation such as "valgus leg" (Sun) is the wrong build of the leg in horizontal support.If one-layoldo -old baby puts the legs together, the inside ankle was closer to the opposite side and deviated outside.At the same time, a flat child relys on the part of the inner part of the foot mainly (medial).Therefore, as there is a plant area, "appears".The diversity of the disease is a flat-valgus leg (PVS).Straight legs combine with x-shaped curvature.In addition to the formation of the deformation, the set of the foot is gradually flattened.
Valgus curvature rate
The stage of the indifference of the pathology is determined by the size of the deviation angle from the ballogan axis of the heel.
There is 4 degree disease:
- I - up to 15 °;
- II - 15─19 °;
- III - 20─29 °;
- IV - 30 ° or more.
The 1-2 phase of Valgus deformity can be eliminated by conservative methods.You need treatment for a long time with 3 degrees.In 4 stages, a surgical adjustment may be required.
Causes of deformation
There are three factors, resulting in the curvature of the foot: intrauterine development, chronic physical excess load, diseases of the musaloshelet system.These factors weaken the ligaments, tendons, muscles, so the legs do not keep the normal anatomical position.
Acquired Valgus, straight-valgus feet causes (M21.0 Code ICD-10):
- Premature parameter in the legs, when the baby's joints are still ready for these cargo;
- "Wrong" shoes (a narrow block of subtle high heel, without supinators).
- Muscle hypnotic, congenital myodistopia;
- Great weight, obesity;
- rickets;
- Neuromuskular diseases (polyomyelite, cerebral palsy of children, polineuropathy of various etiologies);
- congenital dislocation of thighs and dysplases of hip combinations;
- Trauma to stand or lower leg;
- Long-term immocation of foot with gypsum, tutor or freic pad.
The congenital origin of the falcus and flat valgus defect of the structure of the foot can be due to the transfer of a pregnant woman or a genetic disease in ICD-10.Such curvature can be seen immediately after childbirth, sometimes it shows itself before the baby begins to walk.
How to determine the deformation of stop
A change in the lower limb configuration is built along the reading of the foot.This is the name of the usual line visually drawn from the center of the hip combination of hip units in the middle of the trap.The norm shows the passage of the axle by the middle of the joints, which should not be changed to the right or left.
Characteristic features
In the newborn babies, Valgus is found immediately or in the first months of life with innate nature.Often, the symptoms of a valgus defect in children appear after a year and a half.Having a family can be suspected of baby behavior and gait.Often, the following general signs of pathology are found:
- increase the growing elasticity of small joint joints;
- decrease in the height of the only set;
- The displacement of the center of gravity (while trying to walk, the child only relys on the medial side of the foot, the outside edge may rise slightly);
- uncertain, mixed gait;
- You need to give a fast physical fatigue, to rest, to rest your baby;
- Regular complaints related to the pain, unwillingness to walk in the legs;
- light swelling and redness of the skin in the foot and ankle;
- Uneven wear of the shoes expressed more than the inner edge of the Yegod.
Methodology to determine deformation
Defective diagnostic methods include an orthopedic orthopedicity of the baby's foot, followed by an exam in the direction of the baby's instrumental examination.He made an inquiry of an X -R-Site in three forecasts to find the degree of bone displacement.They also carry out Ardor's height and a planetography to determine the degree of violence of straight legs.The only pressure center is calculated using the Post -Meter.This is an effective diagnostic method because it allows you to determine Valgus deformities in early stages.Sometimes the ultraction of the foot is developed to clarify the results of the examination.The visual symptoms of pathology are the only one turning, and the side of the topel, the edge of the topet, from the edge of the heel and the outside line.With the deformation of the flat-valgus, the vandaose disappearance, the level of the leg was recorded.Directs an orthopedics child to a narrow specialist in order to exclude neurological reasons for the defect.
Correction methods
The main tasks to eliminate the valgus are to give the leg of the ligaments added to heel and muscle tendun and the leg to strengthen.
Fixation of a conservative way of combination
Used by a flaw, a gypsum dressing or teacher.The purpose of the strict fixation of the foot in the right angle is to eliminate curvature with immobilization.Although the ossification is not completed, the fabrics are elastic, so they are easily responsible for such an adjustment.With a valgus defect, the child is made of orthopedic shoes to return the correct setting of the leg.Should not cause inconvenience when used.There is a special shoe insole, burning stiff supercinators, a soft pillow (pelot) under the foot vault.Such shoes are also recommended to combine the results of rehabilitation and treatment after surgery.
Different insoles with a valgus leg
Experts recommend orthopedic salons, shoes or explanations for children in orthopedic halls according to their proverbs of individual dimensions and feet.The price of the product will be slightly higher, but the use will give you more noticeable results.
Strengthen small joints
It is recommended to use contradictory foot baths for general hardening and tonic muscles of the lower extremities.To do this, the legs are alternately immersed in a container with cold and hot water.They will start with a fluid with a temperature of 36 ° C, then this value is changed with 1 ° C every week.Gradually brought to an area between 14 and 40 ° C.
It is useful to do the following exercises:
- Alternate socks, heels, internal, outer edges;
- Collect small items, collect fabric or paper by drawing with the fingers of the feet;
- Sking the ball on the ground;
- A number of exercises for fingers (bending, pedigree and parcel);
- Walk in the pebbles and in an uneven surface.
Orthopedist, lower extremity or can determine the waist waist massage course affected by both verses.It is optimal to implement it after warming up with paraffin or ozocerithic application.The muscles of the inner surface of the legs move with tonic massage movements (kneading, kneading).The legs should be massaged by the outer surface relief methods - stroke.
Physiotherapy Procedures
The leg deformation is made of articular structures, inflammation of the muscles, the child's painkiller and anti-inflammatory drugs, black wax application, paraffin and therapeutic mud.Diadynamic currents are used for voter muscle stimulation.
Surgery
In early childhood, radical methods of therapy are not used.However, if the defect interferes with normal walk, the operation is made for young children.During surgery, doctors using metal elements (titanium wire, screws, tiles) make a deformed combination in normal condition.Surgeons can also strengthen the combination by moving the fibula tendon or extending the Achilles tendon.After these operations, rehabilitation includes the use of orthopedic products, massage, physiotherapy and physiotherapy exercises.
Preventive measures
To prevent the legal deformation of the leg, a child to get comfortable shoes to suit the anatomical structure of the leg.How to Choose - Follow E.O recommendations.Komarovsky in the video.The doctor says that these children are often about disease, and are called the disease that helps to form the leg to the age of 12.You need a transaction to correct the teenager's most fun defect.Child sand, walk barefoot over the grass, walk a lot, you need to eat full.The filled sunburn prevents riquet in children, which is one of the reasons for the disease.Body fastening, hardening of the body, regular courses of a common amplifier massage.Gymnastics for the muscles of the leg are also important, including an example of a foot in the sand.Active open game, swimming also helps strengthen the muscles and ligaments of lower extremities.All these measures prevent the development of foot defects.If the combinations and bones of the lower extremities are still intensified, it is forbidden to put the child's legs up to 7.5 GRA P .8 months.In the early stage, the pediatrician and narrow specialists are unacceptable to overthrow the planned examinations of the pathology.
Doctors 'answers to parents' questions
How can you be aware of the deformation of congenital valgus?Unfortunately, the head of the development of the musaloshelet system may not prevent the prevention.If the baby does not find any deviations in the hospital, the baby should be checked by a pediatrician, massage, barefoot, barefoot barefoot, but a safe surface for the feet.It is recommended to use a massage rug in the house.The acquisition of high-size shoes helps to put the foot in the correct position and create a set of physiological heights.Such prevention will even stop the progress of a congenital valgus foot.
Which doctor is treating pathology?
If necessary, the pediatrician directs the baby to children's orthopedics, traumatologist, surgeon.
What is a different foot?
Varus deviations are the displacement of the middle line inside the heel bone.In this case, the set of the foot is very high and the pressure center is moving to the outside edge of the only.One defect is treated in the same methods as the deformation of Valgus, only the deviation angle is regulated by the opposite of the foot.
VALGUS Children's deformation in children: results and correction
The legal valgus deformation of the leg is a pathological change in the musalosheletal system where the height of the set of foot is reduced and reading the lower extremities.
The defect can cause congenital or childhood, to break the violation of straight legs, posture and other health problems.As a rule, it is conservatively adjusted during long therapy with charging, massage, physiotherapy.In deformity, you can achieve regular work, foot and confident gait properly.
Flat-valgus deformation of feet in children's symptoms
This foot defect can be recognized by the following external signs:
- Foot is full of inner ribs, stands in the inner part of the child's foot;
- Where heel and fingers are placed outside;
- The middle part of the foot has fallen flat or noticeably low;
- When the knees are reduced, the legs are a ninth-eyebrow, the legs are not turned into each other, about 4-5 cm thick;
- Uncertain, clumsy gait, child often glued, mixes;
- The child is tired of walking quickly.
When can the defect reveal?
From the moment the baby is trying to take the first steps, the archu of the leg begins to occur.It is considered a flat foot norm for babies.When holding a vertical position independently, children develop a musalosheletal system, "push" new functions.Bones and ligaments begin to live loads, the leg strengthens and takes the correct anatomical shape.This usually takes up to 1.5 years.If the vonstructions for this age remain straight, there is no formed bending, doctors define it as the deformation of meat.As a rule, violations were detected in medical examinations, but if parents see the above marks independently, you must contact the orthopedic immediately.If you start to adjust as early as possible, the recovery is faster and without serious results.
Opinion
Parents should take the maximum time to prevent defects in the baby's physical development, including gymnastics, massage courses and other recreational measures.In children, the helplicate deformation is not eliminated by conservative treatment, you must agree with the surgical intervention to correct the picture of the foot.After all, the development of advanced pathological arthrosis is full of shortening of waist diseases and extremity.