Valgus deformity of the tibia

Crooked legs is not only a default aesthetic, but often severe disease, manifested by the curvature of the tibia. Depending on the form of the legs distinguish varus deformity of the legs (limbs in the form of the letter "O") and valgus deformity of the legs (limbs in the form of the letter "X"). If someone has a problem with the legs, it is not difficult to understand: any deviation from a straight line drawn through the projection of the hip joint, the knee and the first interdigital interval indicates pathology. You can still ask the patient to put the foot close to each other and try to compress the knee, with varus, he can not do, because the knee will become, demonstrating a great difference between the legs. If the knees are compressed the person who suffers from valgus, the tibia, are dispersed to the sides, then, when a difference of more than five centimeters indicate the presence of valgus malformations of the extremities.

Curvature

Help. A small deviation of the ankle towards the outside (up to 7° in males and 10° in women) is not considered a pathology. Valgus curvature is characterized by a large angle of curvature, in which there is a great divergence of the legs with closed knees. Interestingly, in some cases, the retro angiportum of the foot, characteristic of varus strain, leading to the gradual development of the patient's valgus curvature.

Causes of valgus deformity of the tibia in children and adults

Sometimes a child is born with hereditary valgus bending of the tibia, but the pathology that is manifested with more frequency after the child stand on his feet. In addition, tibia in children tend to be deformed due to rapid bone growth in the middle of the slowdown of the formation of the musculoskeletal system as a whole. When valgus bending of the tibia, mainly affecting the knee joint, which leads to "pereleshina" legs in the knees. If your child has a valgus deviation of the tibia, probably will develop flat feet and scoliosis.

Causes of valgus deformity of the tibia in children:

  • hereditary or genetic disease of the limbs;
  • anomaly, congenital, of the lower legs;
  • the disease of the bone and cartilage;
  • metabolic disorders (poor absorption of vitamins and minerals);
  • the inflammation;
  • rickets in severe form;
  • the deficit of the supply of calcium and promotes its absorption of vitamin D (perhaps because of the lack of exposure to sunlight);
  • weight.

Causes valgus bending of the tibia in adults, in many cases, "come from childhood", because of the slowness of the development of the disease obvious symptoms are evident by age, for example, due to an increase in body weight. In addition, the deformation of the tibia (usually a) cause injuries of the lower extremities.

Symptoms of valgus deformity of the tibia

The main symptom of valgus curvature is X-shaped legs, there is a clear displacement of the axes of the limbs. But only the external manifestations is not limited to: the person who experiences pain in all movements of the leg and foot, including while walking. Loading the limb unevenly distributed and concentrated in the knee and the ankle, which are then gradually destroyed. If you do not start to treat valgus deformity of the tibia, then the person loses the ability to walk normally and is severely disabled.

Surgical treatment of valgus deformation of the lower part of the leg

To correct the defects during the cure (varicose veins) osteotomy of the surgery, which removed part of the femur, and then spliced the remaining parts using compression-distraction osteosynthesis, in which the limb is set to the apparatus Elizarova (can be used when necessary, and to lengthen the limb). If the patient has significant destruction of the knee joint, that is, at most, to do reconstructive chondroplasty. Surgical treatment of valgus deformity of the tibia is not available for patients under the age of 18 years, such as the musculoskeletal system have not yet fully formed.

Massage

Conservative treatment of valgus deviation of the tibia

If valgus of tibia to diagnose in time without having to wait for the changes in the joints, the curvature of the limbs can be avoided. In great way this applies to children that with the first signs of the disease should be shown the doctor-orthopedist. In all the phases of the valgus bending of the tibia in children using therapeutic exercise and massage, in addition, selected shoes orthopedic, the reduction of tension in the joints. These same techniques adequate for the prevention of the curvature of the feet in children. Special attention should be given to nutrition in the diet is recommended include foods rich in calcium, phosphorus and vitamin D (dairy products, fish, eggs, nuts).

Exercise. Experts recommend to ride a bike, swim, play ball and walk to the stairs. For patients with valgus deformity of the foot developed a set of exercises gymnastics. If pathology is found in a child, it is necessary to learn how to sit in Turkish (feet touching the other, and the knees separated in different directions).

Massage. When valgus deformity of the tibia, it is important not to give the divergence of the ankles to move forward, that is to say, to improve tone of ligaments and muscles and, therefore, strengthen the limb. The patient was prescribed a course of massage is typically 15-20 sessions are conducted every day (every day). Courses must be repeated in two weeks or a month. The intensity of the intervention was to increase gradually, but the pain should not be. During a massage specialist first strokes, rubs and kneads the muscles of the gluteal and lumbar regions, and then affects the leg muscles, working hips, knees and ankle.

On the curvature of the legs

Valgus and varus is a true deformation of the tibia, but it is about the curvature, in which the bones are soft, and the limbs seem to be curved because of the bad distribution or underdevelopment of the soft tissues, resulting in dysphonia calf muscles.

About the bowing in the tibia is to adjust the physical effort (when they carry out specific exercises that you can "bomb", that is to say, increase in the volume of sural muscle), the outline and the installation of silicone (cruroplasty). Usually in the form of Shin change patients with underdeveloped, deformed, asymmetric calf muscles, among them many athletes and bodybuilders, that is to say, people for whom it is important to have a proportional body.

The main thing about valgus deformation of the lower part of the legs

Treatment
Question The answer
A distinctive feature the legs have the form of the letter H.
Reasons

in children: the hereditary factor, the problems of fetal development, the lack of calcium and vitamin D.

adult: injuries of the lower extremities.

What to pay attention walk without pain, problems with knee joints.
How to treat valgus bending of the legs

therapeutic exercise, massage, surgery (varicose veins osteotomy), followed by the use of the apparatus Elizarova.

To what doctor to address the surgeon orthopedic.
09.09.2018