Valgus deformity of the knee: photos, causes, treatment

The pronounced curvature of the legs, visible to the naked eye, it restricts movement and leads to disability. Deformity of knee in children is treatable. Therefore, the disease is diagnosed in the early stages. The treatment of this disease deals with the surgeon.

What is the valgus and varus deformity of the knee

hallux valgus

The bending of the knees is one of the most common phenomena pathological among the orthopedic diseases. Can be of 2 types: X - and O-shaped. In most cases deformation occurs during bone growth, that is to say, in the childhood. Sometimes the knees are bent in the elderly. This is due to the increase of the load on the bone joint system and the development of osteoporosis. Principles of treatment of the curvature gives a positive result. However, if no action is taken, the disease can lead to disability. The curvature of the legs in the form of letters is called a valgus deformity. It can be both two-and one-sided. The diagnosis is exposed on the basis of the inspection and measure the distance between the feet. With valgus curvature, is at least 5 cm. the Patient should keep his feet and stand still while measuring distances.

Varus deformity Or in the form of curvature of the knees. The reason of development of weakness of the skeletal system. And valgus bending, and varus deformity may occur at any age. In both diseases require treatment from a podiatrist.

Causes of hallux valgus in children

Valgus deformity of the knee is not independent of the disease, but a consequence of some pathological condition. Curvature always occurs in the background the pathology of the bones. The reasons for the development of the deformation of the lap are:

  1. Congenital Anomalies of the joint.
  2. The lack of vitamin D.
  3. Increased physical activity during the growth of the bones.
  4. With a knee injury.
  5. The deficiency of calcium in the body.
  6. Chronic disease of the joints.
  7. Weight.

Valgus deformity of the knee joints in children often occurs in a context of a rickets. This disease is characterized by the ingestion of insufficient cholecalciferol of vitamin D. because of the lack of this substance bone tissue becomes stronger until the end. As a result, any physical activity in childhood result in the distortion of the large joints, especially the knee joint. Most often, the deformity is noticeable in 2-3 years, when the progress of the baby already formed.

Congenital Anomalies include shortening of the muscles of the thighs, the curvature of the bones of the leg, and hypoplasia of the knee joint. On the identification of these malformations is necessary to start the treatment by a podiatrist to control the load physics to the deformation is not progressed.

Due to the huge pressure in the knee joints, the curvature can also occur in children who suffer from rickets, and abnormalities of development. The fact that the cartilage and muscle tissue grows more slowly than that of the bone. Therefore, skeletal muscles and ligaments are weak. Constant tension leads to a progressive deformation of bones of a Shin and hips.

The bending of the knee in adults

deformity of the knees

In some cases, it may be valgus deformity of the knee in adults. Occurs more frequently in people with the loss of the musculature of the thigh. The weakness of the muscles of the legs can occur after suffering neurological pathologies, such as stroke.

In women, deformity of the knee occurs more often in the postmenopause. In the third age, because of the lack of sex hormones development of osteoporosis. This pathology is associated with the leaching of calcium. As a result of its deficiency of the bone becomes rarefied and brittle. Therefore, regular physical activity can lead to the bending of the support to the joints. In most cases deformation occurs in people with an increase of body weight.

Risk Factors for the development of valgusa curvature of the knees are diseases of the joints and bones. Among them, chronic inflammation of the knee joints (arthritis). Most often they arise on the background of wounds or injuries infectious. Another common pathology that leads to the deformation gonarthrosis. It is characterized by changes in the structure of cartilage. To specific pathologies, causing a deformation of the knee include gout, ankylosing spondylitis, rheumatoid arthritis and other lesions in systemic connective tissue.

Stage curvature valgusa

Valgus deformity of the knee is divided into several stages. Depends on the location of the mechanical axis relative to the condyle side. To establish the degree of curvature is possible for the x-ray pattern. In addition, the doctor measures: how many degrees of the tibia is rejected to the outside. There are the following phases of deformation:

  1. Easy to degree. It is characterized by the fact that the mechanical axis is performed throughout the foot along the center of the lateral condyle of the femur. The tibia is, therefore, to reject outward 10-15 degrees. In addition, the mechanical axis that passes through the middle of the outer half of the condyle of the tibia.
  2. The average grade. The mechanical axis of a leg affects the outer portion of the lateral condyle femoral. The angle of deviation of the tibia is 15-20 degrees. In addition, the axis of the condyle in the external of the tibia.
  3. Heavy degree. It is characterized in that the knee joint is out of step of the mechanical axis of the leg. Shin pushed back towards the outside more than 20 degrees.

The establishment stage of valgus deformity of the knee is necessary. The degree of curvature affects the treatment of the tactic.

Symptoms of the deformation of the knee in children

Parents often ask about when it begins to show a valgus deformity of the knee in children? The age of the child it is important to consider in the diagnosis. From children up to 2 years a small deformation of the knee is considered a variant of normal. This is explained by the age characteristics of the muscular system. The symptoms of hallux valgus of the knees include:

  1. The curvature of the legs-type. To confirm the diagnosis is to measure the distance between the ankles. In the pathology is higher than 5 cm.
  2. Fatigue when walking. Children suffering from curvature of the knee, constantly asking in his arms.
  3. Discomfort in the legs when walking. Children may complain of pain in the knee region.

It is important to note that the child has hallux valgus of the knee. Photo of similar curvature can be seen on medical websites or in the literature on pediatric surgery and traumatology. If you change the shape of the feet resemble the observed images of the disease, you should consult a doctor.

In addition to these signs, there are symptoms of the underlying condition. When rickets in children of early age there is a baldness of the region of the occipital, the flattening of the abdomen and chest. The large Fontanelle in the head for a long time is not a weed. Rickets is often associated with anemia, manifested by the stick.lidesa of the skin, weakness. Hallux valgus are more likely in children with higher body mass.

Diagnosis valgusa bending of knees

diagnosis

As revealed a valgus deformity of the knee? X-ray is considered the main method of diagnosis of the curvature of the legs. Then the doctor performs a mechanical axis of a leg and determine its position. If the line is rejected from the center of the knee joint, therefore, is not curvature. To indicate a pathology, it is sufficient to look at the shape of the child's foot and measure the distance between the ankles with the serried legs and feet. The x-ray pattern measured by another indicator, the deviation angle of the bones. If you have more than 10 degrees, the curvature is available.

In addition to the identification of the strain has to establish its cause. To do this, perform laboratory diagnostics. It is important to determine the level of calcium and phosphorus. To exclude the pathology articulate carried out biochemical analysis of blood. Evaluate factors such as the presence of the C-reactive protein, factor rheumatoid, uric acid level.

Valgus deformity of the knee: treatment of the pathology

The timely help from the doctor in hallux valgus can lead to a complete correction of the form of the legs and prevent further curvature. In marked deviation of the knee to perform the surgery. Conservative treatment methods include:

  1. Massage and physical therapy.
  2. Physiotherapy.
  3. Wearing shoes orthopedic and special clips the knee joint.

In addition, an important causal treatment. Children under 3 years of age should receive supplements of vitamin D and spending time in the sun. Adults who have a shortage of calcium, this mineral is prescribed in pill form.

Massage when the bending of the knee in children

One of the main methods of treatment is massage. Valgus deformity of the knee in the early stages, children are able to completely disappear due to mechanical effects on muscle and physical therapy. A course of massage should be from 2-3 weeks. After taking a break for 1-2 months. After the course of treatment again. Massage involves stroking and rubbing the lumbar region, sacrum, posterior surface of the tibia and the femur. After you perform various passive movements of the leg to change the position of the joint. During the massage, special attention must be paid to the condyle internal. You should try to gradually bring it to its normal position.

Physiotherapy in the bending of the knees

Physical exercises play an important role in this condition such as valgus deformity of the knee in children. The treatment gives a positive effect. In the complex of exercises includes active movements of the joints, the rotation of the feet. It is recommended to walk on the toes, squat, with a divorced knees, sitting in Turkish. Regular exercise and massage lead to the correction of the shape of the foot for 4-5 years.

Surgical treatment of the deformity

The surgical treatment is indicated in severe degree of deformation. This method is carried out if other methods have failed. The surgical treatment consists in the artificial bone fracture and the fixation of the joint in the desired position. However, these operations can not be performed in the period of accelerated growth.

Prevention of the bending of the knee

prevention

In valgus deformity of the knee joints did not develop, it is necessary to observe measures of prevention. These include:

  1. Consumption of food and vitamin complex rich in calcium.
  2. The introduction of the prevention of the dose of vitamin D from 1 month to 3 years.
  3. Daily walks with the baby.
  4. The rational of the physical effort.

Adults it is recommended that the control of body weight, the appearance of pain in the joints of to consult a doctor.

17.08.2018