The curvature of the legs of the child: causes and treatment

Valgus curvature of the foot of a child is quite common. However, not all of the curvature of the children must be considered as a pathology. In most cases, the default age is adjusted independently, but the process must be kept under control. If the deformation is a pathological deviation from the norm, it is necessary to carry out a special treatment and even surgical intervention in case of emergency. Advanced forms of the disease can cause many problems and complications.

deformities of the feet

The essence of the phenomenon

In the General case, the curvature is an abnormal development of the extremities resulting from the deformation of the joints in the interior of the direction. Valgus deformity of the lower limb may be congenital or acquired in nature:

  1. The first type is caused by the improper development of the fetus in the womb and is in the initial phase (2-3 months of a child's life) when viewed from the outside.
  2. Acquired valgus deformity of foot in children is associated with abnormal development of the joints, ligaments and muscles of the limbs and diseases of the musculoskeletal system. This pathology was revealed about 2-2,5 years, when the child begins to move around and be independent.

The mechanism of formation of the curvature of the extremities in children is based on a certain abnormal process. In any leg joint internal muscles, bones develop faster than the external elements that causes an increase in the articulation of the space in the interior of the area and reduce its size to the outside direction. The result is the formation of this defect is stretching of the ligaments, fasten the set to the interior.

Hallux valgus is most often subject to the union of knees, feet and fingers. Some are less of a breach of the femur and the tibia. In the end, the baby's leg is bent, which is visible.

It should be noted that the majority of children defects of the lower limbs do not have a character that is pathological. That lead to a slight curvature, and most importantly — do not progress with age, spontaneously removed. Special treatment in these circumstances is not required, but the necessary control of the process by the children's orthopedist.

Anomalies are identified by significant deformation, which gradually increases. That due to the wrong redistribution of loads during the march, but it can also lead to serious joint disorders, up to the limit of the mobility. They need to be treated in the early stages.

Deformity of the knee

Valgus deformity of the knee joints in children is considered to be the most common pathology. This makes the X–curvature of the legs. Clearly it is revealed in the knee joint in the standing position. In the presence of tension between the feet form a gap, the value of which indicates the degree of curvature. No hazardous deformation caused by lateroposition muscle quadriceps and is characterized by a deviation from the norm by not more than 5º, with a gradual increase in 6–7th (no more). Clinical indicator of pathological deformation admits a height of more than 5-5. 5 cm between the inner sides of the feet.

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Congenital nature of the deformity of the knee is recorded with low frequency and are associated with the abnormal development of the hip, foot and Shin. These diseases can have single and double face of nature. For children it is more characteristic of the acquired form of the disease, most often emerging during the first attempts to stand up and walk. These actions cause substantial loading of the knee joint, and complete the training of the muscles and ligaments of the child has not yet finished.

The most common cause of defects instinct that makes that stretch in an attempt to maintain balance. No pathological changes have resolved itself for 8-10 years, and when the deformation is not reduced at this age, you need to take curative steps.

Valgus deformation of the knee in children can cause the following factors:

  • a number of diseases (rickets, a disease Erlacher-Blount, endocrine and cardiovascular disorders, joint disease);
  • the deterioration modes of epiphyseal bone growth;
  • the appearance of the adductor contractures in the hip joint;
  • a poor choice of footwear (light, stiff shoes);
  • excess weight;
  • a knee injury;
  • physical overload.

The main symptom of hallux valgus of the knee — expressed X-shaped curvature of the legs, which leads to rapid fatigue when walking, and pain. The progression of the disease is directed in the direction of eversion of the limb in the knee joint, which can cause flat feet, the progress of the changes, the development of scoliosis.

Deformity of the foot

Hallux valgus in children is expressed in violation of the provisions of the foot, that is to say, in oppose to her alone on the inside. As you know, the normal angle at which the foot relative to the tibia, 90°, and in the pathology differs from a right angle. As a result, the deformation decreases the arch of the foot, and changed its axis. When you look from the top to the feet can be seen, the X–curvature. Another common option is PLANO–valgus deformity or flat feet.

We can distinguish the following main causes of the appearance of hallux valgus in children:

  • developed ligaments of the feet;
  • diseases endocrine the nature.
  • congenital flat feet;
  • osteoporosis, that is to say, fragility of bone;
  • the overweight child;
  • injuries in region of ankle and foot;
  • the genetic predisposition.

Very often the children revealed valgus deformity of the toes, and the most affected thumb. This defect is called pathological changes in the metatarsophalangeal joint causes the big toe to bend towards the inside. Of course, that little by little broken the direction and the other fingers. A characteristic manifestation of the disease is the formation of "bone" in the joint, which causes pain, swelling, fatigue when walking.

massage stop

In advanced stages are possible complications:

  • hammer-like curvature;
  • the formation of calluses and corns, with pain syndrome and a tendency for the inflammatory reaction;
  • pain on moving;
  • the ingrowth of the nail.

Not controlled in the progression of the disease can cause bursitis and disease Deutchlander.

The deformity of other joints

The curvature of the feet of the child can cause the deformation of the joints of the hip. The hip is most commonly affected due to congenital anomalies. A common cause is the dysplasia of different degrees. The problem is that babies have this type of deformation is difficult to detect visually, only on the basis of 6 months is diagnosed by ultrasound or radiography. Valgus deformity of the femoral head causes an increase in cervico-diaphyseal angle. Normally, the disease, valgus deformity of the tibia, and flat feet come together.

Lose the ankle joint, there is a clear displacement of the heel to the outside and movement of feet in the interior, which often causes PLANO-valgus flat feet. This deformity of the child responds to intense pain on moving the leg and the foot. In the initial phase, the pain disappears quickly, as the progression of the disease, which accelerates and intensifies. The child appears stiff in the lower part of the leg, which complicates the usual movement.

Principles of treatment of the disease

If the treatment of valgus curvature initiated in a timely manner, the repair of the defect can be a conservative way. He began the use of surgical treatment as a necessary measure. Conservative of the impact is achieved through the following methods:

  1. Orthopedic activities. According to the affected joint are used in different orthopaedic devices. Use corrective placement and fixing of tyres for the knee, ankle or hip joints. With the defeat of the foot and the fingers used shoes orthopedic, templates and various elements of the lock.
  2. Physiotherapeutic effect. The most effective method experts believe that the muscle stimulation by feeding a weak electrical pulses with adjustable duration.
  3. Therapeutic massage. A full range of treatments, such as stroking, rubbing and kneading on your lower back; massage of the buttocks and sacrum; active impact in the area of the back of the hip; kneading, stretching and vibration of the muscles of the legs; remedial massage of the knee; stroking and rubbing of the Achilles tendon; foot treatment.
  4. Physical therapy in valgus curvature is developed by a specialist.
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In the advanced stage of the pathology, if there is a real risk of complications, and in cases where the therapy is rendered impotent treatment for valgus curvature of the limbs is provided a surgical method. Before this intervention, the diagnosis is confirmed with the use of modern diagnostic methods - CT and MRI.

Valgus bending of the legs of the child requires attention. The majority of these violations does not require special effects and eliminated with age. However, pathological deformation can not be started. Your first treatment is provided by a conservative method, but difficult to bring to the surgery.

17.08.2018