HALLUX VALGUS

Hallux valgus (hallux valgus) stop is characterized by the curvature of the metatarsophalangeal joint of the first toe and accompanied by deformity of the other toes of the foot.

stop

Causes

The main reasons for the development of hallux valgus stop is:

  • on the hereditary factor (this situation was found in the near relatives);
  • transverse platypodia;
  • endocrine disorders in the body;
  • the development of osteoporosis.

The disease is more common in women than in men, at the ratio of 8:2. Cross flatfoot is due to weakness of the connective and bone tissues of the foot. The development of these types of flat leg, cause wearing uncomfortable and tight shoes, high heel shoes, which leads to uneven load distribution on the foot, the result is a deformation of the front part of the foot and can develop into arthritis of the big toe joint.

Symptoms of hallux valgus

Symptoms of hallux valgus include:

  • the apparent deviation of the thumb on the outside;
  • gradually increase the size of the "bones" of the feet;
  • malleo characteristic form of the second leg;
  • pain in the joints of the foot;
  • the fatigue of the feet during running;
  • problems in the selection of shoes.

Diagnosis

If you want to assign to the appropriate treatment and prevent progression of the disease, it is necessary to perform a complete examination of a patient, to determine the true causes of disease and determine in which stage of the process.

The main methods of diagnosis:

  • full-time consulting ortopedatravmatologa;
  • x-rays stop in 3 projections to determine the level of deformity, and the identification of co-morbidities;
  • plantography – find out, flat feet (degrees);
  • differential diagnosis – exclusion of diseases with similar symptoms (arthritis, gout, osteoarthritis deformans).

The patient

The patient must use appropriate specialist to conduct the necessary examinations and treatment, to prevent unwanted complications.

The treatment of hallux valgus

Treatment of this disease, the doctor ortopedatravmatolog to contact the doctor when the first symptoms of the disease.

Conservative treatment of hallux valgus belongs to the non-surgical methods. To him include:

  • wearing orthotic insoles (arch supports) and night splints
  • the use of interdigital pads;
  • physiotherapy treatment;
  • therapeutic exercises for the toes and feet.
  • introduction intra-articular injections of the hormonal origin of the inflammation.

The use of conservative treatment does not result in a complete recovery and is more effective in the early stages of the disease.

In the advanced forms of the disease to operative treatment. There are more than a hundred methods of surgical treatment of hallux valgus. Basic methods of surgical treatment:

  • ekzostektomiya – surgical method in which the excision of a small part of the metatarsal head;
  • osteotomy – a method in which the patient removes the part of the phalanx of a finger or part of a metatarsal bone;
  • arthrodesis is an operation in which the joint of great toe is fixed in a stationary condition;
  • Tumor arthroplasty surgical removal of a small proportion of the metatarsophalangeal joint of the metatarsal;
  • surgical intervention to restore the ties around the metatarsophalangeal joint of the thumb;
  • surgery with replacement of the affected joint for an implant.

After surgery, the patient will be able to walk, relying completely on the metatarsus, starting 3 weeks after surgery. The recovery period is about 23 months from the date of surgical treatment.

Complications

In the case that the deformation was minor, and the treatment is carried out correctly and in a timely manner, the look and function of the common can recover without consequences. In advanced forms of hallux valgus, pain may persist even after surgical treatment.

In the absence of timely and proper treatment, the joints of the foot deform, which can lead to chronic bursitis. As a complication the disease can occur disease Deychlendera, which is characterized by the restructuring of the metatarsal bone of the foot.

Prevention of hallux valgus

Prevention is recommended:

  • regularly checking ortopedatravmatologa for the early detection of flat feet;
  • the wearing of comfortable footwear (no high heels, natural materials, the shoes that do not press, with a heel height of not more than 7 cm);
  • regularly wearing orthopaedic insoles;
  • respect for work and rest, if the work of man, which is associated with additional load on the lower extremities.
22.08.2018