Hallux valgus in children

This pathological change in the direction of the axis of the lower extremity predisposes the development of flatfoot. Gradually, with regular exercises and therapeutic procedures, the position of the heel can be corrected by forming the correct placing of the feet; or if the hallux valgus in children is not treated, it can lead to irreversible changes in the musculoskeletal system. Therapy for pathology requires a lot of time and effort, but in everyday tasks, the baby will be rewarded with a beautiful gait and correct the arch of the foot.

What is the valgus foot in children

Defect of the foot characterized by a reduction in the height of their arcs and x-shaped curvature of the axis of the limb, is called "valgus installation stop in children." In this pathology, the children celebrate the turning of the heel and the toe outward, drooping of the middle division of the foot, clumsiness of gait. If the child straightens and compresses the knee joint, the distance between the inner sides of the ankles not more than 4-5 cm in internal archives of the "filled" inside.

At what age is showing

All newborns have flat feet is the norm, as children who do not yet walk, and ligaments, bones and tendons need to learn how to test the load. As soon as the child begins to stand up, rely on your feet and walk, has formed and strengthened foot. When the bows do not have a designed structure, or for a long time not seen, the doctors put the provisional diagnosis of "hallux valgus". Noticeable changes can be around 1-1.5 years.

At the first signs that appears the curvature of the feet, necessarily need to show the child the doctor because pathology tends to progress. If you do not treat the disease, the situation will worsen, which has led to the development of more serious problems. The doctor will assess the health of the child and find out what therapeutic measures would be optimal. As a rule, to resolve the issue by conservative methods, surgery is decided, that rarely, only in severe cases.

Flat feet in children - causes

Pathology can be acquired or congenital in nature. In some cases, the formation of hallux valgus in children contribute to the parents themselves, trying to put him at your feet to learn to walk. This is a weak muscle-skeletal system of the child is not ready to such loadings, which develops the transformation processes. Do the first steps a child needs in this age, when his body will get stronger and be ready for it (around 10-12 months).

PLANO deformity of the foot in children

Congenital

In order to promote the formation of the pathology can be genetic disposition or any disorders during pregnancy. Congenital deformity of foot in children is usually diagnosed by doctors in the early age of the child (in the first months of baby's life). The most dangerous varieties of congenital anomalies, it is considered that it is necessary to stop the rocking and vertical RAM. In the diagnosis of this type requires surgical intervention.

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The error of the foot can occur due to a defect, underdevelopment of the tendons and ligaments of the feet, in addition, the curvature of the limb sometimes becomes a low muscle tone child. The child's legs can grow wrong in these factors:

  • prematurity;
  • excess weight newborn;
  • fetal malnutrition;
  • scoliosis;
  • polio;
  • rickets;
  • accustom to walking a toddler at too early age;
  • Cerebral palsy;
  • congenital weakness of the connective tissue (formed in utero);
  • myodystrophy;
  • dysplasia;
  • the longer leg in plaster after suffering injuries;
  • diabetes;
  • polyneuropathy;
  • infectious, viral disease;
  • mismatched shoes (not enough to determine the heel, too soft);
  • congenital dislocation of the hip.

Symptoms

Upon the occurrence of hallux valgus parents notice the symptoms of the disease, as a rule, only when the baby starts to take their first steps. And most children, as you gain walking skills symptoms of rejection disappears. Another thing, if the child long walks alone, and the symptoms remain. In this case, the child needed to see a doctor. The most common symptoms of the curvature of the ankle joint are:

  • the child does not occur on the entire surface of the foot during walking, but only on its inner arch;
  • noticing the awkwardness in the gait;
  • the child gets tired of walking.
  • the steps of crumb uncertain;
  • the shape of the foot is X-shaped;
  • when walk heard the shuffling.
Symptoms

How the curvature of the stop child

Improper adjustment of stop child, you may notice some changes, such as changing the position of the toe and the heel, while bending (they look outside). The average part of the foot sags, whereby the foot position is unnatural. Children with limb deformities, marked curvature of the legs due to the deformation of the knee joints: if they are together, the inner edges of the ankles remain relatively large distance from each other (4-5 cm).

The curvature occurs due to the transformation processes and ends with the formation of flat feet and other disorders of the musculoskeletal apparatus. The Problem can be seen if you look closely at the feet of the crumbs: when they kept the knees bent X-shaped manner. In most cases, this pathology is congenital, and the youngest is myself, as evidence of insufficient development of the muscular-skeletal system.

If for 5 years, problem is, I hope it'll go away, without reason, because the child's feet at this age are aligned. Later bending of the stop child requires professional and timely treatment, otherwise the disease may lead to the deformation of the knee joints and the pelvis, which can cause curvature of the spine and other serious back problems (lower back pain, deformation of vertebrae, etc..).

In the stage of development of pathology

Disturbances in the development of the limbs, if untreated, takes place gradually. There are the following stages of disease:

  1. A mild form. Deviation is not more than 10-15 degrees from the norm. This stage of the the basics of stop a simple fix with the help of special orthopedic insoles and shoes.
  2. In the second stage the deviation in the position of the legs is equal to 15-20 degrees, and treatment should include a set of conservative and therapeutic interventions.
  3. In the third phase, a noticeable deviation from the common inside of 20-25 degrees. Treatment in this case is comprehensive and lasting.
  4. Severe degree of curvature of the stop is characterized by a deviation greater than 30 degrees. Treatment includes conservative methods, not always therapy is effective, therefore, undergoes a surgical operation.

How to recognize the curvature of the legs in a child

The curvature of the stop is diagnosed by a careful review of the pediatrician, however to confirm the diagnosis of a child should be seen by a specialist of orthopedics. Usually this purpose is assigned a number of additional studies:

  • Ultrasound of the joints;
  • x-rays in three projections;
  • computational study of the footprint (track) of the stop;
  • computer research stop.
Diagnosis

Computational study of the footprint (track) of the constitution

With the use of this diagnostic study is possible to calculate the morphological parameters of the constitution. The procedure provides for the pathology on the footprint. Child's pose on the glass floor of the scanner with bare feet, followed by a scan. As a result,on a computer screen, sees a podiatrist, to be able to assess the condition of your feet a little patient and make a diagnosis.

Computer research stop

The procedure is necessary to assess how evenly distributed the load over the foot. Computer research stop provides an opportunity to identify pathological changes in the cases, when the baby is not yet showing clinical signs of hallux valgus. With explains the purpose of the pediatric orthopedist may prescribe additionally conduct ultrasound of the joints.

X-ray stop

A diagnostic method helps to identify the location of the stop relative to each other. On radiographs noticeable reduction of the height of the arch of the foot, the violation location, rear, front, middle divisions of the foot relative to each other. In addition, this diagnostic method helps to identify the deformation of the individual bones in the joints of the Tarsus.

Ultrasound of the joints

Under certain conditions, request an ultrasound of the joints. The study was performed in the supine position of the patient, while in its lower extremity is placed a roller. Ankle smeared with a special gel that provides good contact of the sensor with the skin. The device emits high-frequency pulses, with which the screen of the ultrasonic apparatus, we present the tissue. This diagnostic method helps to explore:

  • Shin bone;
  • the ankle joints;
  • the muscles of the legs;
  • bundles.

The treatment of hallux valgus in children

If not immediately start treatment pathology, the child develops flat feet, and there are other diseases of the musculoskeletal system. The goal of treatment of PLANO-valgus of the foot is to restore it to normal shape, function. In addition, some physiotherapy and exercises to strengthen the ligaments, muscles and tissues. If you have acquired form of the disease, for children from the very beginning of the therapy conduct courses of massage, make the foot bath, the treatment with paraffin, electrophoresis, electrostimulation, magnetotherapy, etc ..

The treatment of hallux valgus

Cast in congenital deformation of the

In applying the plaster bandage, the doctor pays much attention to her formation of the projections, the deepening of the lower part of the leg. Tips of the fingers should remain free, to be able to monitor the status of traffic. After 5-7 days the dressing is removed and is carried out manually correcting the hallux valgus. After loaded the new preservation of the buckle for fastening of the reached result. The procedure is repeated until full correction of the valgus of the foot.

The foot baths and therapeutic swimming

For the correction of the feet and the design of bows are the right shape, child is encouraged to carry out swimming. In the absence of the ability to use the pool you can perform certain exercises at home in the bathroom.

Massage for hallux valgus in children

This method of treatment has a restorative effect, improves muscle tone, increases joint mobility, promotes healthy neurological development.

Physiotherapy

Listed below therapeutic methods, which are used as auxiliary. Activate metabolic processes in tissues and improves the circulation in the nutrients. The choice of physiotherapeutic procedures performed doctor, with the maximum efficiency are different:

  • Electrophoresis.
  • Magnetotherapy.
  • Paraffin.
Physiotherapy

Exercises physical therapy

To eliminate deviations of the five experienced pediatricians also recommend physical therapy. Exercise for the correction of hallux valgus feet is very simple. The main condition to achieve positive results is to work with the children on a regular basis.

Surgical correction

Surgery for hallux valgus of the foot is used very rarely (only 7% of the cases). Surgical intervention may be granted on an individual basis with strong severity of the disease. The most common methods for surgical treatment are:

  • transplantation of the tendon of the long peroneal muscles on the inner part of the foot with extension to the Achilles tendon;
  • the imposition of external fixation of the foot.

Wearing orthopedic shoes

Children with disease of the legs definitely need to wear a medical orthopedic shoes that can be chosen individually. His specialty is in the fixing of the feet with the help of special insoles, arch supports, small stable heel and a stiff back. The right shoes choose not the parents, and podiatrist, to talk about the duration of wearing it (with the constant use of orthopedic shoes may be muscle atrophy). When valgus deformity of the feet, shoes must meet the following requirements:

  • the correct sole, the presence of a Thomas heel, inside of which is slightly longer than the outer;
  • soft top, edge;
  • a convenient clasp that protects the foot well, but not traumatizing her;
  • the back and sides should be relatively rigid and allow you to clip the ankle and metatarsal joints;
  • the smooth surface of the insole;
  • genuine leather outside and inside.

Preventing valgus feet and forecast

Valgus feet can go into the severe stage, the speech, not only as a cosmetic deformity, but also causing a functional deterioration of ud to disability at a young age. To avoid this, children up to 7-8 months to prevent strain on the lower limbs. In addition, we recommend the following preventive measures:

  • compliance with rational regime;
  • diet;
  • gymnastics;
  • consolidating;
  • good sleep;
  • vitamin D and all necessary trace elements;
  • regular, timely visits to the pediatrician;
  • the right choice of shoes (including healthy children wear shoes with orthopedic insoles).
10.08.2018