Hallux valgus deformation of foot in children

She is accompanied by the following deviations:

  • flattening of the arch longitudinal;
  • Hallux valgus the position of the rear of the division;
  • incorrect position of the anterior teeth.

The maximum percentage was observed in children of younger school and preschool age. Although there are cases where this diagnosis may be considered not authorized.

a hammertoe is a copy

The shape of the foot, formed in the course of evolution, provides a uniform distribution of body weight. The foot bone is connected to the strong ligaments that form the arch, the role of which is to ensure maximum shock absorption of the movements in running and walking. Convex arcs oriented in two directions – transverse and longitudinal. Therefore, in the lap of an adult on three fundamental pillars: – the head of the first bone, the calcaneal tuberosity and the fifth of the bone.

In children, the flattening of the arch of the foot, usually found in the epoch in which the baby is just making his first steps; this is due to the force of a serious stress on the legs when you try to make a move. Of course, you can not expect that a child is a good set of foot or gait "from the hip" immediately after the first time you got up on their feet. There is No need to panic or to give up the sport or a career in the military.

As a general rule, the first complaint of the parents occur when the child makes its first independent steps. In this case, it is necessary to distinguish between the physiological flattening of the arch of the foot of a child who has not yet reached the age of three, and, in fact, Hallux valgus deformity, which requires an observation of the orthopedist. Up to three years in children on plantar aspect of the foot has a "fat pad", so that when a simple visual inspection of the arch of the foot is not visible. But it will be noticeable if you ask the child to stand on tiptoe. The bone the baby continues to form up to 5-6 years, so this is the only time it makes sense to start talking about the absence or the presence of the baby, such as hallux valgus.

hallux valgus — copy

Although it should be borne in mind that Hallux valgus foot in children can lead to such negative consequences as:

  • severe curvature of the spine;
  • constant pain in the legs;
  • "adult" diseases – osteochondrosis, arthrosis.

In some cases, the diagnosis of "Hallux valgus of the foot," is the child still in the hospital. In this case there is a congenital nature of the disease (vertical RAM).

Causes of the deformation of the stop

  1. Connective tissue dysplasia (78%). Pollution of the air and the water, the food is of low quality lead to the fact that the connective tissue, which is the basis of the apparatus of the joints (and all other organs), is formed incorrectly.
  2. Wrong shoes (soft models with flat soles, not able to keep the leg).
  3. The child is not involved in the physical preparation in the early childhood education institutions and in the family.
  4. Genetic and endocrine (diabetes, thyroid disease) disorders.
  5. Osteoporosis (loss of bone).
  6. The different injuries of the foot.
The doctors identify a series of theories, which could be attributed to several mechanisms:
  • anatomy theory;
  • mechanics theory;
  • the theory of hereditary muscle weakness;
  • the theory of constitutional weakness of connective tissue.
Classification:
  • correction in the treatment of feet;
  • congenital;
  • traumatic;
  • static.

Doctors are three degrees of severity of hallux valgus stop: the light, medium and heavy. The so-called stop rocking (vertical battering RAM, stop paperweight) – the most severe, degree of deformation. Is detected immediately at birth, the frequency of detection is 1 in 10 000 births. The pathogenesis of this strain until now not fully understood. The most likely cause of the deformation, the doctors isolated malformation and delayed development, at a stage of the formation of the embryo.

The parameters of the foot in the normal:

  • if you draw two lines on the bottom contour of the bone of the heel and the first of the bone at the top of the angle was in the region of the bone in the form of a boat, this angle should be 125°;
  • the height of the arc longitudinal is 39-40 mm;
  • Hallux valgus position of the foot later – from 5 to 7°;
  • the inclination angle of the calcaneus relative to the plane of the support is from 20 to 25°.
disease feet — copy

The height of the arc longitudinal of the foot in children of preschool age in the norm may vary 19-24 mm.

Soft, is characterized by the following parameters:

  • the height of the arc longitudinal of the foot is reduced to 15-20 mm;
  • the angle of elevation of the arch is reduced to 140°;
  • the angle of inclination of the calcaneus to 15°;
  • distortion of the position of the posterior up to 10°;
  • the splaying of the forefoot (8-10°).

Average grade:

  • the arch of the foot is reduced to 10 mm.
  • arch height decreased to 150-160°;
  • the angle of inclination of the calcaneus to 10°;
  • Hallux valgus the position of the back of the division and bring the front up to 15°.

Serious:

  • the arch of the foot is reduced to 0 to 5 mm;
  • the angle of elevation of the arch of the foot is reduced to 160-180°;
  • the angle of inclination of the calcaneus - 5 to 0°;
  • by distorting the position of the back of the division and assignment of the front - most 20°;
  • deformation severe and not correctable;
  • constant pain in the region Shoparov joint.

Stop – frame "Foundation" of our body. And if the Foundation of a curve, then smooth, reliable at home that are not build. Hallux valgus deformity of the foot involves Hallux valgus (X-shaped) deformation of the knee and ankle, incorrect position of the pelvis, the posture. The axes of curvature of the spine and of the extremities leads to an overload of the muscles, without success, the attempt to keep the body in the correct position. As a result, the appearance of pain, the early development of osteoarthritis, osteochondrosis.

Prevention

  1. Loading baby feet before 7-8 months not worth. As part of the gymnastics to put the baby before, but only briefly and always with support.
  2. Spend the prevention of rickets.
  3. The baby needs to wear the right shoes: wear high heels (heel above 3-4 cm) to help keep the heel in the axis of the rod, and also the oppression of the sole and a small instep.
  4. Definitely must pass the inspection of a podiatrist (1, 3, and 6 months of life, and the three, 4 years – annual visits).

Treatment

Given all the above, parents need to understand that flat feet is a serious problem only when the feet are not only flat, but also disturb the baby while walking or running. If the rise in the tip, foot arch of the baby look normal and not bother, then, the treatment is not necessary.

If flat feet are also painful, sedentary is a completely different situation. Here already need help of a podiatrist who regularly participate in plants for the correct assess the severity of the pathology and to develop the adequate tactics of conducting the patient. This can be prevention is using specialized shoes, and surgical treatment.

  • Operation Graisa (podtarannii artroerez).
  • Dobbsa method for the treatment of the vertical RAM (step plaster with subsequent fixation of the spokes of Kirchner).
treatment of the foot

Dobbsa method is to keep 5-6 sessions (one per week) gentle manual correction of the deformation of the feet. Each session ends with plaster involved the lower extremities, to reliable retention of the stop in the position of maximum correction possible. While the plaster cast is applied from the top of the thigh to the foot with knee flexed to 90°.

5-6 clinical and radiological sessions to normalize the anatomical relationship of the boards of the centre and rear of the foot. The last stage consists of two surgical procedures: fixation of the joint by means of spokes Kirchner in the correct position ( under the control of the TUBE) and totally surgery percutaneous.

After manipulation of the data for up to 8 weeks in a bandage of plaster. After the spokes are removed, the child is of plaster, boots (without fixation of the knee joint, and a tab, the arc longitudinal; with the ability to fully support the legs). Then, to avoid the recurrence of foot deformities, up to 4 years old children assigned to orthopaedic wear breis. And after the treatment according to Ponseti, kids wear breis in the first stage for 23 hours a day (for 4 months), then the use of time is gradually reduced, and more breis is used only during sleep (night and day). In contrast to the method of Ponseti is only in the transmission of the configuration data of the abduction of the foot. In the future, the children, cured by the method of Dangerous, wearing shoes orthopedic with the implementation of the arc longitudinal.

stop

You must understand that in the diagnosis and treatment of all the nuances that you have to coordinate both with the surgeon orthopedic and medical specialties allied (massage therapist, doctor of physical therapy, physical therapist, etc.).

07.08.2018