Valgus deformity of the knee: treatment of pathology

Valgus deformity of the knee is the curvature of the lower extremities in the form of the letter H. the Pathology often affects children and the elderly. The curvature of the legs can progress, causing irreversible changes in the joints and muscle tissue. The disease is easier to treat at an early stage, so it is important not to miss the moment and start treating valgus as quickly as possible.

deformity-the joints

Looks like?

Hallux valgus characterized by the curvature of the limbs, where between the femur and tibia form an angle opening outward. Such a violation may appear on one or both sides at the same time. Bilateral localization of pathology provokes the formation of X-shaped lower limbs in children and adults.

Some neonatal doctors note a small change in the position of the knee according to the type of hallux valgus. This is due to a certain status (lateroposition) the quadriceps femoris. This condition the muscles and joints is a physiological, if the data measurements of the angles corresponds to the average of the health indicators.

If the correct leg shape is traditionally implemented in the line of the femoral head in the first gap between the leg passes through the middle of the knee, always a straight line. About the curvature of the evidence is in the position of the lower extremities, where it is impossible to build a straight line through these three points.

The reasons for the development of the curvature of the legs

Congenital valgus deformity and foot of the child is often the result of different genetic diseases. A negative impact on the correct formation of the knee joints, bones and muscles of the fetus can also offer some environmental factors. Embryonic development cause interference for the following reasons:

  • stressful situation;
  • the use of drugs (especially antibiotics) during pregnancy;
  • environmental pollution;
  • the penetration of various chemicals and toxins in the body of the mother;
  • ionizing radiation, the damage depends on the duration of exposure to radiation;
  • acute infectious processes has been moved into the period of gestation of the child;
  • contusions of the abdomen of a pregnant woman;
  • endocrine disrupting organs;
  • worsening of or the debut of autoimmune diseases of the mother during the formation of the fetal skeletal system and articular structures.

The disease can also occur in childhood or adolescence due to lack of calcium or vitamin D supplements.

Valgus curvature of the foot in adults develops as a result of a serious injury and subsequent disruption of the structure as well as bone -, joint-and muscle-tissue, harmful living conditions. These include the following:

  1. Inflammatory joint diseases: bursitis, arthritis.
  2. Endocrine and auto-immune disease that affects the muscles and bones.
  3. Fractures of the foot displacement of bone fragments.
  4. Subluxations, dislocation of the knee.
  5. Ruptures of major ligaments of the lower limbs (especially the presence of necrotic changes in the connective tissue).
  6. Insufficient vitamins and minerals in food.
  7. Unfavorable ecological situation.

Clinical symptoms and diagnosis

If the valgus deformation of the damaged areas of the moisture — leg-and knee — bend and change its physiological position. Pathology is the complex development of progressive police. Patients complain of painful sensations in the affected limbs, fatigue during walking.

valgus-knees

If the damage is involved in bilateral, but unequal curvature of the joints, the patient gradually formed the scoliosis. In severe cases, a person suffering from valgus deformity, gait changes — it becomes unstable. Congenital curvature of the legs of the child, the possible changes in the femoral neck.

Violations of the correct position of the bones and joints reflect very well on x-rays. Radiography is the main diagnostic technique for any pathology of the musculoskeletal device. Based on this examination, the specialist determines the degree of deviation in the normal position.

In order to determine the valgus foot, losing a child, simple enough carefully. You also need to measure the gap between the ankles when in the folded position of the pelvis and compare it with the age norm. The use of radiography allows us to estimate another measure of deformation is the tilt angle of the knee. If it exceeds 10 degrees, the violation is confirmed.

Find out the cause of valgus curvature of the knees, performed laboratory diagnosis. Biochemical analysis of blood of the patient to determine the concentrations of calcium and phosphorus, uric acid level, presence of rheumatoid factor and C-reactive protein.

Methods of treating hallux valgus

If melanoma is found, the baby fixation of knee valgus should be addressed immediately. After all, when the child begins to walk, increases the load on the osteoarticular apparatus of the lower extremities, which can lead to rapid progression of the disease. Fix valgus using the following treatments:

  • physical therapy;
  • massage techniques;
  • use a special cover joints (orthoses), wear shoes or insoles.

Mandatory for every patient is prescribed physiotherapy, often suggest yoga. When ineffectiveness of conservative treatment, doctors recommend surgery.

Children suffering from valgus damage to the foot, proposal, do gymnastics, swimming, Cycling. It can also be useful as a child walking barefoot in the sand or grass. For each patient individually, the expert to pick up orthopedic shoes with special inserts and a beveled heel.

Important! Treatment of valgus knee joints in children is to use all available methods of treatment. It is very important to you as soon as possible to begin the correct foot deformity until bone and muscle tissue has not lost its plasticity.

If the parents go to the doctors later and all of these methods to fix the error failed, experts recommend surgery.

The goal of surgical intervention is the correction axis, of the lower extremities and in particular the hips, and then apply the Ilizarov device.

Can be complications

When valgus deformity of the foot and often enough and in young and adult patients, there is a file problem. The most common are the following:

  • severe pain in the injured leg, the worse the physical stress;
  • damage to the meniscus of the knee joint;
  • stretching and tearing of the joint ligaments;
  • degenerative changes in the cartilage of the knee (gonarthrosis).

After the surgery may develop the following complications:

  1. Infectious-inflammatory. To prevent the rods and spokes that fix the limb in a certain position, you need to regularly treat with antiseptics.
  2. Bleeding blood vessels during installation of the Ilizarov device.
  3. Failure to maintain the structure of the service. In this case, carry out an additional operation and replace the broken part.
  4. Intense and long-lasting pain syndrome. Caused by the failure of the operating power mode and against doctor's orders. In such a situation, the patient is prescribed painkillers.

Preventive measures

To prevent the occurrence and progression of deformity in the knee joints and legs, it is recommended to avoid physical overload. Very important with this disease daily exercise, physical therapy, and periodic courses of massage, the correct choice of shoes.

Children prescribed set of exercises. Promote the repair of existing violations of the following physical activity:

  • jumping on exercise ball in a sitting position, with legs extended;
  • movements of the type "bike";
  • swimming;
  • to capture small objects on the floor on your toes;
  • walk to support the outer part of the sole.

Massage helps to reduce the symptoms of valgus and to prevent the recurrence of the disease in the future. It strengthens the muscular system of the foot, improve nerve conduction, sound body. The movement of the massage is particularly useful when it is not used. They remove blood stasis, relieve muscle fatigue and reduce pain. Massage should be performed by an experienced specialist. If necessary, he will also teach the parents, so they can do it at home yourself.

It is important to remember that the treatment of disease massage techniques properly. The child does not experience pain during the procedure! By the way, the baby is to stretch the muscles, to sulk, to refuse manipulation.

exercises

Questions and answers

  • Why valgus foot injury develops in old age?

The symptoms of this disease occur in the elderly. Most often this phenomenon occurs when previously suffering injuries, but it can be a result of the increased load on the osteoarticular apparatus of the foot.

  • Rickets is the cause of valgus deformity of the joints in children?

Rickets can become a causal factor in the occurrence of valgus. Because the disease develops on the background of deficiency of vitamin D, necessary for the formation of bone tissue. If the child's body is missing this element, the foot bones start to bend. It usually becomes noticeable at the age of 2-3 years.

  • What are the benefits of orthopedic shoes?

When valgus damage it is recommended to use special shoes. It securely locks the foot in the correct position, which reduces the load on the foot, knee and hip joints, reducing the likelihood of developing flat feet and scoliosis.

Conclusion

Valgus deformity of the knee is relatively favorable prognosis. And in childhood and adolescence the child is checked regularly by a pediatrician and narrow specialists. Timely treatment, a comprehensive treatment of the baby get rid of the disease already 3-4 years. In adults, the appearance of the above mentioned disorders are also encouraged to seek help from a specialist. Prescribed treatment to prevent progression of the disease, to get rid of the unpleasant symptoms that reduce quality of life.

15.08.2018