Valgus deformity of the tibia

The curved leg is not only cosmetic defect, but often serious disease, which is manifested by curvature of the tibia. Depending on the shape of the foot differentiate 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 problems with the feet, not difficult to understand: any deviation from a straight line drawn from the projection of the hip joint, the knee joint 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 just can't do, because the knee will turn out, which shows a large gap between the legs. If the knee will compress the person, which is valgus, and the tibia will disperse to the sides, then when the difference is more than five centimeters indicate the presence of valgus malformations of the extremities.

The curvature of the

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, which is characterized by large angle of the curve, in which there is a considerable divergence of the legs with closed knees. It is interesting that in some cases the reverse retro angiportum of the foot, characteristic of varus deformation, which leads to the gradual development of the patient's valgus curvature of.

Causes of valgus deformity of the tibia in children and adults

Sometimes a child born with hereditary valgus bending of the tibia, but the pathology is manifested most often after the child stand on his own two feet. In addition, the tibia in children are usually deformed due to the rapid growth of the bones in the middle of a slowdown in the formation of the musculoskeletal system as a whole. When a valgus bending of the tibia primarily affect the knee joint, which leads to "pereleshina" legs in the knees. If your child has a valgus deviation of the tibia, it is likely you will develop flat feet and scoliosis.

Causes of valgus deformity of the tibia in children:

  • hereditary or genetic diseases of the limbs;
  • congenital anomaly of the lower leg;
  • diseases of bone and cartilage;
  • on metabolic disorders (improper absorption of vitamins and minerals);
  • inflammation;
  • rickets in severe form;
  • the deficit of calcium in food and promote its absorption of vitamin D (perhaps due to lack of sun exposure);
  • weight.

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

Symptoms valgus deformity of the tibia

The main symptom of valgus curvature of the X-shaped legs, the obvious shift of axis of the extremities. But only the external manifestation is not limited to: the person experiences pain in all movements of the leg and foot, also while walking. The download page is unevenly distributed and concentrated on the knee and ankle joints, which are then gradually destroyed. If you do not start to treat the valgus deformity of the tibia, then the person will lose the ability to walk normally and is severely disabled.

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

Correct the error in the time of the remedial (varicose) osteotomy – a surgery that removed part of the femur, and then cut the remaining parts of the use of compression-distraction osteosynthesis, which is part of the handle is set to the apparatus Elizarova (this can be used, if necessary, and lengthen limb). If the patient has a significant destruction of the knee is also doing reconstructive chondroplasty. Surgical treatment of valgus deformity of the tibia is not available in patients younger than 18 years of age, as the musculoskeletal system is not yet fully formed.

Massage

Conservative treatment of valgus deviation of the tibia

If valgus of tibia to diagnose in time, without waiting on changes in the joints, curvature of the limbs can be avoided. To a greater extent this applies to children who at the first signs of the disease, which must be shown to the doctor-orthopedist. At all stages of valgus curvature of the tibia in children using therapeutic exercise and massage, in addition, selected orthopedic shoes, reducing the stress on the joints. These same techniques are suitable for the prevention of curvature of the leg in children. Special attention should be paid to nutrition in the diet, it is recommended to have foods rich in calcium, phosphorus and vitamin D (dairy products, fish, eggs, nuts).

Workout. Experts advise to ride a bike, swimming, ball games and walk up the stairs. For patients with valgus deformity of the foot developed a set of exercises gymnastics. If pathology is found in the child, it is essential to learn how to sit in the Turkish (legs touching each other, and the knees are separated in different directions).

Massage. When valgus deformity of the tibia it is important to not give the offset from the ankles to progress, this is to improve the tone of the ligaments and muscles as well as strengthen the body. The patient was prescribed a course of massage is typically 15-20 sessions carried out every other day (every day). Courses should be repeated in two weeks or a month. The intensity of the procedure is gradually increased, but the pain they should not be. During 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 really a deformation of the tibia, but it is about the curvature, in which the bones are smooth, and the limbs appear to be curved due to improper distribution or underdevelopment of the soft tissues resulting in dysphonia calf muscles.

About the bowing in the tibia is adapted to the physical exertion (when you perform specific exercises that you can "pump up", this is to increase the volume of sural muscle), the design and installation of silicone implants (cruroplasty). Usually in the form of Shin changes in patients with underdeveloped, deformed, asymmetric calf muscles, among them many athletes and bodybuilders, that is, people for whom it is important to have a proportionate body.

The main thing about the valgus deformation of the lower legs

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

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

adult: injuries of the lower extremities.

What to be aware of the walk without pain, problems with knee joints.
How to treat valgus curvature of the foot

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

What doctor to address the orthopedic surgeon.
09.09.2018