Hallux valgus in children: causes, symptoms and medical tactics

Hallux valgus in a child is a pathology, which entails a reduction of the height of the arch of the foot, accompanied by a curve and axis and forming a X-shaped position. Experts point out that with this diagnosis occurs, turn the heel and the toes to the outside, to the middle division of the foot, walking is awkward.

Not to be confused valgus foot deformity with varus, which produces the 0-ring position

When hallux valgus is observed at a distance of about 5 cm between the ends of the ankles in a strong grip and straighten the knees. The fingers and the heel deviated to the outer side.

If the diagnosis detects a significant decrease in the location of foot arch, it is referred to as PLANO-valgus foot deformity in children. It is this type of disease is the most common.

The causes of the pathology

Hallux valgus can be caused by several reasons. You have to identify that the treatment plan accurately correspond to the arrangement of the story. Pathology is divided into congenital and acquired.

Congenital

The doctors shared a few degrees of the disease:

  • it is easy;
  • medium;
  • complex.

The most serious are "stop rocking", that it is diagnosed at birth. The pathogenesis of a strong deformation is still not completely installed. One of the main reasons is regarded as a malformation.

In congenital hallux valgus to have a place to be serious intrauterine pathology associated with the form and structure, the location, the bone part of the foot. Usually diagnosed in the first three months after birth.

Dangerous pathology of fetal development is considered a stop condition when the small was to find a "stop rocking", "vertical battering RAM." These offences are diagnosed immediately after birth, and the doctors start the treatment, rehabilitation, and correction.

What reasons can lead to these disorders during pregnancy?

  • The hereditary factor.
  • The shortage of protein, phosphorus.
  • The regime prescribed by your doctor.
  • Strong stress, anxiety, dysfunction of the nervous system.
  • External Factors.
  • Ecology.
  • Transferred during time of pregnancy infectious and viral diseases.

Bought

deformation of the foot

Acquired valgus deformity occurs due to the imperfect tendinous-ligamentous apparatus, which has still not developed to the proper level. Capable of strong influence and deviations in the functioning of the musculoskeletal system.

Identifies deviations over the year, when the baby starts trying to take the first steps. Most often, the pathology is diagnosed in children who suffer from muscle hypotonia. The reasons can be the following:

  • prematurity;
  • intrauterine hypotrophy;
  • the weakening of the connective tissues;
  • frequent colds, a history of bronchitis, pneumonia, the flu.

An important component of this disease is rickets, which has a direct impact on muscle and bone ligamentous apparatus.

Hallux valgus may also develop due to:

  • polyneuropathy;
  • Cerebral palsy;
  • myodystrophy;
  • poliomyelitis;
  • obesity;
  • mechanical damage of the ligaments and injury;
  • dysplasia;
  • the dislocation of the hips.

Often, the disease occurs in children, it is too early to put on the legs, that is a heavy load on the spine and the feet. The bad Shoe that is too soft or does not fix the foot, is a contributing factor in the development of diseases.

When the muscle mass decreases, is the flattening of the arches of the foot due to the severity of body weight, weakening of muscles, ligaments of the fingers, they stretch, and the foot is not held in the normal position.

The symptoms of the disease

Almost always the first signs parents found closest to 12 months of age of the child. In this period, the baby starts to take their first steps, and the pathology is evident.

Therefore, there are the following symptoms.

  1. While walking, the child steps on the foot, just at the inner edge of its base.
  2. With time, the stop becomes the X position of the shape by the way.
  3. Obvious lack of skill in place.
  4. A child walks hesitantly.
  5. The patient gets tired very rapidly during active games and physical exercises.
  6. In the evening the child complains of pain in the lower extremities, spine.
  7. When you walk always that the baby can inflammation of the stop.
  8. Sometimes there are cramps in the calves.
  9. If parents will carefully examine the skin of the child, you will notice that it gets unevenly, getting worse only from the inside of the sole.

Parents need time to notice the first signs of the disease and record to a competent podiatrist, who prescribed a treatment. Otherwise, there could be serious complications.

Diagnosis of valgus stop

x-ray

Properly performed the diagnostics – the key to the success of the treatment. Suspicion of pathology in may of pediatrician in normal routine physical examination, the doctor then makes a referral to a pediatric orthopedics specialist to prescribe appropriate measures for the diagnosis and perform a thorough examination of the patient.

Apply the following steps for diagnosis:

  • the x-ray of the foot;
  • planography;
  • podometry;
  • ultrasound examination of the joints.

Plantography gives the possibility to calculate the morphological parameters of the stop, podometry evaluates the level of stress and detect violations in the early stages.

Methods of treatment of valgus deformity of the foot of the child

The doctors argue that treatment should be a set of several measures aimed at the recovery of the patient.

Wore the shoes orthopedic

In hallux valgus, the doctor prescribed the use of special shoes orthopedic. The main factor is considered the full compliance with the size and shape of the foot of the selected block. Sometimes, the shoes are custom-made to fit the baby's leg.

The following figure is the stability level of the Shoe product. Should be a small heel or instep, hard back, which fixed the position of the heel. The faces must be the hardest part, around the heel binding of high and narrow in the instep.

If the shoes are chosen correctly and completely suitable for the child, while walking is to facilitate the functioning of the damaged muscles, which causes the disease to develop further.

Bandage plaster

Sometimes need immobilization of the limb with bandages of plaster. Process modeling and material selection is done by the podiatrist that takes into account the following indicators.

  • View of the curvature of the foot.
  • The level of degree of deviation from normal values.
  • Individual characteristics of the structure of the foot.

In the early stages, you can apply soft bandaging. If it did not help and the situation is more current, then you turn to chalk.

The doctor put in a plaster cast, which clearly captures the foot and ankle in a correct position. While getting a cast surgeon orthopedic gently creates the necessary protrusions, indentations.

When applying the plaster, the child will not be affected scope.

Used for about a week, then the doctor corrects valgus manually, and then imposes a special retention.

Foot bath

To form the arch of the proper form and make the correction of the foot doctors prescribe young patient special exercises that you should perform at home, in the bathroom. You need to buy a high Mat where the child will jump up and walk away. These exercises have a stimulating effect on the sole, to increase its sensitivity, to reduce the load on the lower extremities.

In the bathroom is a good idea to add a special coniferous-salt collection, which has a calming and relaxing effect.

Massage

Massage promotes General strengthening, improves muscle tone, improves the mobility of joints, and also has a positive effect on the neurological development of young patients.

The main task of massage – the start of the circulation, the provision of a effect tonic to the muscles of the legs.

As a massage?

The same total body massage. The movements can be smooth. The abdomen should be massaged, the movement of the needles of the clock. Then, take turns to massage each foot.

You need to put your baby on her stomach and massage the back, the ribs.

Pay attention to the knee and elbow bends, performing the movements for grinding.

Physical therapy

Auxiliary method of treatment is physical therapy. This method allows you to reboot your metabolic processes in the tissues, in order to improve the flow of nutrients.

So, most often the podiatrist will appoint:

  • electrophoresis;
  • magnetoterpy;
  • paraffinotherapy.

The course has a duration of approximately 10-14 days, after support for the effect of treatments, once a week.

Exercise

An integral part of the treatment of valgus is physiotherapy, which includes exercises.

  1. Flexion and extension of the toes.
  2. The rotation of the feet.
  3. The picking fingers of small elements.
  4. Roll the sole of the foot small balls.
  5. Divorces heels.
  6. The mixture of socks foot.

The burden should not be excessive and to deliver the baby discomfort.

Correction surgical

Radical method of treatment of valgus is surgical intervention. Fortunately, it is necessary in exceptional cases. The Experts have resorted to the following operational methods.

  • Transplanted tendons.
  • To impose the apparatus of fixing the stop to the exterior.
  • Produce arthrodesis taranno-lad yevidnogo joint.

After the surgery, the child needs recovery.

Prevention

Experts recommend to adhere to the prevention methods to protect children from the disease.

  • Remove the load on the feet of the babies of 6-10 months.
  • Ensure adequate nutrition of the baby.
  • To make home gym.
  • Choose the right shoes for this first step.
  • To ensure proper sleep to the baby.

The child, the diet should include dishes, steamed or with the aid of the kitchen. It is forbidden to give children fried, smoked food. Try to include in the diet more vegetables, fruits, meat, as they contain calcium, protein. Let the kids fish, this will ensure the flow of phosphorus in the body.

Drinking plenty of fluids is the key to maintaining the water balance in the body. Follow the drinking regime of the child, it will help to increase the elasticity of muscles and improve the metabolic processes in the body.

When choosing shoes, give preference to models with a hard heel and good fixing to the leg of the child did not move in the Shoe. Remember that the size of the footwear should correspond to the length of the foot, are admissible only in excess of 1.5 inches.

Exercises should be daily, and you can do the exercises at home. Make sure that the child showed physical activity in the Yard: jumping, running, climbing the stairs.

Forecast and consequences

If signs of hallux valgus found in time, then the chances of a full recovery stop. Run of form valgus can lead to:

  • osteoarthritis;
  • osteoporosis.;
  • the disability, loss of motor activity of the limbs.

Try to implement all the recommendations of the doctor, in time to attend the exam. In any case, do not resort to self-medication.

09.08.2018