2024 Author: Josephine Shorter | [email protected]. Last modified: 2023-12-16 21:43
Hallux valgus of the knee joints
Dangerous valgus deformity of the knee is a dangerous disease characterized by severe lateral curvature. In this case, an angle open to the outside is formed between the lower leg and the thigh. Such a serious curvature can be either simple one-sided or more serious bilateral. Such a unique pathology of the bilateral type often provokes the X-shaped shape of the legs in humans.
It should be noted that in many newborn babies, a slight valgus position is typical of the knee joints. Such a harmless physiological state is due to the special lateroposition of the important quadriceps muscle and is absolutely not pathological if it does not go beyond certain limits of medical parameters.
Some babies have a certain position of the lower limbs when the legs are abducted and the knees are brought together. In this case, a gap of up to 5 cm between the inner ankles is characteristic. This deformation is also a physiological norm for a child.
The shape of the legs is considered correct when the conventionally drawn lines directly from the head of the femur to the very first space between the toes are necessarily straight, while passing only through the middle of the knee. They say about deformation if it is impossible to draw a straight line between such three points. The distance between the straightened ankles and the brought together legs of the baby should be no more than 2 cm. For other indicators, you should immediately consult a doctor.
It should be noted that not only hallux valgus occurs, but also varus deformity of children's knee joints. In contrast to varus, the valgus type of curvature is characterized by the X-shaped shape of the legs. The child's shins in the knee area are always shifted inward. In most cases, parents notice such a dangerous defect when the child begins to walk on his own.
The cause of this serious pathology is a significant load on the legs. Often, it is associated with too rapid bone growth in children, at a time when the ligamentous and muscular apparatus of the little man does not yet have sufficient strength. In some cases, valgus flat feet also join the deformity of the knee joints over time. In many children, it is expressed as a strong deflection of the heel outward.
To prevent the disease from progressing, it is recommended to take timely measures. Then it will be possible to completely avoid certain disturbances in the child's gait, increased fatigue, severe curvature of the spine and severe pain in the legs.
How to cure hallux valgus of the knee joint?
Treatment of this pathology of a child will require maximum perseverance and patience from the parents. It is not recommended for the baby to stand for a long time with legs wide apart, and you also need to refrain from standing games and long walks.
An important component of the treatment of the hallux valgus is the obligatory use of special modern orthopedic shoes. As a rule, certain models of shoes are prescribed by the attending orthopedic doctor. These sandals and shoes are readily available and are often available at regular baby supply stores.
In addition, some experts will advise you to purchase special orthopedic insoles that meet the immediate characteristics of a particular child. It is also often prescribed to use special night tires. When hallux valgus is diagnosed at an advanced stage, in some cases, modern surgical intervention may be required.
In addition, massage plays a huge role in the treatment. As a rule, it should be done in long, 20-day courses. The break between courses should not exceed two months. It should be mentioned that painful effects are not recommended, the child should always enjoy the massage.
In addition, especially effective paraffin wraps are required. They are usually performed on pre-warmed legs before a special massage session. The most intense effect during massage is permissible only on the knee joint and in the area of the entire back surface of the lower leg.
Immediately after the completion of such treatment procedures, experts recommend carrying out an obligatory set of special exercises, including flexion and extension of the legs in the ankle joints, as well as intensive rotation of the feet. Along with this, it is useful with the child from time to time to play grabbing the ball directly with the legs, lifting the ball.
Another recommended exercise is lifting the baby's body from the "Sitting in Turkish" position. Do not forget to carry out such basic procedures as walking on toes and the outside of the feet, stretching, squats with knees apart.
Timely started treatment allows you to make a favorable prognosis even with advanced stages of hallux valgus deformities of the knee joints in children of different ages. As a rule, in most cases, with regular procedures, the child is completely cured of this pathology by the age of four.
Article author: Mochalov Pavel Alexandrovich | d. m. n. therapist
Education: Moscow Medical Institute. IM Sechenov, specialty - "General Medicine" in 1991, in 1993 "Occupational Diseases", in 1996 "Therapy".
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