Valgus Deformation of the knee joints in children: treatment, causes

Valgus Deformation of the knee joints is a shift in the knee inwards, distorting the shape of the legs and give the appearance of the letter H. the disease is also characterized by an overarching and internal Rotation of the hip, as well as the deflection of the lower leg to the outside.

Valgus knee wide-spread disease, the suffering of primarily children and the elderly. Valgus Deformation of the knee joints in children completely conservative methods cured.

Characteristics of the disease

Since the inclination of the lower limbs develop is characterized by the formation outside the open angle between thigh and lower leg, as the inner condyles hips faster external. As a result, the inner gap of the joint extends, and the outer narrows. The process relates to the ligaments that supports the joints. The ribbons stretch from the inside, and when walking, the person is forced, wide legs.

Pathological curvature of the legs is considered in the case when the distance between the inner surfaces of the ankle straightened and tightly pressed to the knee is greater than 5 cm. it is worth noting that some of the newborn valgus is the Norm for the curvature until they reach a certain age. Temporary defect on later oposition (deviation to the outside) quadriceps and not a threat.

In very rare cases, a child is born with a deformed knee. When this happens, there occurs a bending of the femoral neck, valgus Installation of the lower legs and flat feet.

Children valgus knee one-sided and two-sided. In the first case, the limb is deformed, while the second - both of you. A slight curvature of the newborn is often the physiological Norm, and depending on the grow up of the child will be stretched the legs. However, the process does not need to control in order not to miss the progression of the pathology.

If the deformation does not happen, you should immediately take measures, until the ligaments and muscles of the child are in the development. The disease developed very rapidly from the Moment the Baby begins to walk. The lower limbs heavy load, and muscle are exposed, structures are not able to deal with it.

Valgus defective and must necessarily be treated, otherwise, would suffer the entire musculoskeletal system.

Causes

Deformation of the knee joints, the following conditions can cause:

  • the maximum load on one leg in a time of rapid growth when muscles and ligaments are still poorly developed;
  • Rickets, lack of Vitamin D and calcium;
  • Disease Erlacher-Blount (deforming osteochondrosis of the Tibia);
  • Paralysis of the limbs;
  • Damage to the bones of the pelvis;
  • overweight;
  • uncomfortable shoes – too tight or, on the contrary, the wide;
  • Injuries and inflammation of the joints;
  • The environment factor.
valgus-knee -

The main and the most common cause of the Deformation of the legs are a congestion of the limb, when the child begins to make the first steps. During the growth, Form and mutual arrangement of the bones of the knee joint, changes. Very small children tend to be, just bend your knees and relax your joints when you go complete. Instinctively, the child uses the feet well, because the muscles are weak. For this reason, Varus (O-shaped) setting the legs in the course of a few years, the valgus. At the age of 5, 6 or 7 years, everything is back to normal, and in the case of the permanent deformation to speak of pathology.

Symptoms

Valgus determine the Deformation of the knee in children and in adults for the following reasons:

  • Knees and feet are provided to the outside, flat feet may develop;
  • while walking or standing, fatigue and discomfort, as well as the painful sensations;
  • at defeat of a knee-perhaps the development of scoliosis;
  • due to the Deformation of the legs, the gait changes – it is not smooth;
  • for the congenital forms of valgus, characteristic of the curvature of the femoral neck.

There are 3 degrees of Hallux valgus:

  • The beginning: deviation of the lower leg to the outside more than 15°;
  • the second leg rejected by more than 15°;
  • the third: this stage is characteristic of the deviation of the lower leg in the direction of more than 20°.

Treatment

Treatment of Hallux valgus of the knee joints in children a comprehensive and after the implementation of the diagnostic measures. To clarify the severity of the disease x-ray. For exceptions, articular pathologies, indicators of biochemical analysis of blood: the presence of C rate acid-reactive Protein, rheumatoid factor and uric. With the help of Tests for trace elements the level of calcium and phosphorus in the body.

The modern treatment methods allow to correct the shape of the legs and a further progression of the deformity progression. Several possibilities:

  • the wearing of orthotics;
  • Physiotherapy;
  • Massage;
  • Movement therapy.
valgus-deformity-in-children

Orthopedic devices and physiotherapy

Hallux valgus corrective Styling and tyres, the joint of the knee apply. Such products shall appoint the doctor-the orthopedist, the regulates in the course of the therapeutic process, the necessary level of fixation. Please note that the wearing of such devices for circulatory disorders of the lower extremities.

For the strengthening and improvement of the contractility of the muscles of the lower legs such a physio-therapeutic methods such as electrical stimulation.

By acting on the body by the pulses of the current, you get these results:

  • increases volume and strength of the muscles while maintaining the length of the muscle fibers;
  • increases tissue the ability to adapt and the limit of fatigue of the muscle;
  • reduces pain syndrome;
  • a good lymphatic drainage and accelerated excretion of metabolic products,
  • nerves recovered, regulation of muscle contraction;
  • Thanks to the alternation of contraction and relaxation of the muscle prevents atrophy.

After a course of several treatments, electro-stimulation, the muscles become tighter and they are easier to maintain the correct Position of the feet when walking or standing. Before appoint electrical Stimulation, the doctor takes into account the following contraindications:

  • the tendency to bleeding;
  • Thrombophlebitis;
  • acute inflammatory and infectious processes in the body.

Massage

The stability of the joint, the muscles, so beta most multiple muscle groups – the back, buttocks, thighs, and lower legs. The treatment consists of 10-20 sessions, between courses, two weekly or monthly breaks. The intensity of the effects after several treatments do not increase, a sharp and rough movements are allowed.

Massage

The Massage is carried out so:

  • The Patient lies on the belly, under the legs under the roller.
  • Massage of the lumbar region, in the direction downwards and in the sides of the spine. Then you should RUB, knead and pressure.
  • Sacred Department massage movements in a circle or in an X-shaped direction, intense surface rubbed on the outside of bent fingers. With one or two hands to produce kneading. The last stage – Percussion-techniques: chopping movement, as well as effleurage and slap.
  • Massage the back of the thigh begins stroking in the direction from the knee upwards and to the side, then rubbing, kneading and effleurage movements of the fingers.
  • Leg stroking massage in the direction from the heel up to the knee joint. Particular attention will be techniques on the outer and inner sides of the lower legs: the outer part gently massaged with the low pressure, with the aid of the vibration and Stretching. At the end of the session - stroking. Massage the inner surface is intense, with application of the lungs-Drum-techniques.
  • The knee joint is adjusted, by stroking and rubbing the side faces, the pressure on the inner side of the joint in the area of the femoral condyle. At the time of printing with the free Hand, you try to keep the lower leg at the bottom, run as close as possible to the center line.
  • The Achilles tendon stroking and massaging movements.
  • The Patient turns on the back, pillows under the knees.
  • Massage the front of legs start with stop: movements in the direction of the toes to the lower thigh and the back surface massaging. Then an intense following RUB and knead the inner side of the ankle and of the foot. In the final stroke.
  • In a circular motion, the knee to pet and RUB him page space. Then pressure on the inside of the wrist with simultaneous adduction of the Tibia on the midline.
  • The front surface of the lower leg massaged easily movement in the direction of the bottom grinding to the top.
  • Past the hips, stroking and of medium intensity, RUB, and knead. At the end of the legs, from the knees to stroke upwards and in the direction of the outer side of the legs.

Physiotherapy

To fix the deformation, requires long and hard work. Exercise regularly at least 2 times a day, a approach should after a Massage.

Exercise 1. Flexion and extension of the ankles.

Exercise 2. The Rotation of the feet alternately in the one and the other direction. You lead the movement needs to be smooth and see that it has no pain sensations.

Exercise 3. Capture and hold the items feet.

Exercise 4. The output position – attitude cross-legged. From this Position, have to get up, only on the outer parts of the Stop. If not, you can ask anybody, and perform the exercise with the support. Then you sit in a pose with his legs crossed and change the feet, so that from the top of the other leg. Repeat the exercise.

Exercise 5. Crouch, crouching, wide-spreading her knees to the side. An important condition is the correct Position is: you must stand on the ground and parallel to each other.

Exercise 6. Lifting on the toes and stretch the whole body upwards. Then fall on the feet.

Exercise 7. Walking on the outer side of the Stop.

Exercise 8. Hiking on a narrow Board in width of 10-15 cm. Instead of a Board you can track to painted stripes or color on the carpet. The feet should be close to each other.

Photo-Deformation

Surgical Treatment

In advanced stages, or in the case of existing complications valgus Deformation corrected surgically. In General, surgery older patients assigned, because the disease often occurs in the severe Form. The indication for surgical Intervention is also associated with deformation of the meniscus in the knee joint, cure, the conservative methods are not possible.

Before the Operation, a number of diagnostic measures with the application of magnetic resonance imaging and computed tomography.

The essence of the Operation – the creation of artificial fractures with subsequent correction of the feet by ilizarov frame.

In the rehabilitation phase of the treated limb stunned, the go uses a special device. In the future, patients will move with the help of crutches. The Ilizarov apparatus allows the correction of the limbs and after surgery – on the 8. or 9. Day.

Surgical treatment also applies in the case of the ineffectiveness of the conservative methods. Then wedge-shaped plot of the Tibia is surgically removed and then the bone grows. In children up to 16 years of age, and deformed limbs in an anatomically correct Position.

To restore the function of the legs, prescribe physiotherapy prescribed. The implementation of the exercises is required to have a strong muscles which hold the knee in physiological Position.

After the surgery, the Patient a course of Rehabilitation that includes, in addition to the physiotherapy the physiotherapy treatments and massages.

It is worth noting that the timely started treatment is the possibility of an optimistic forecast in the case of neglected forms of valgus, regardless of the age of the child. The implementation of doctor's advice to avoid such complications, such as osteoarthritis of the knee, damaging the meniscus and the anterior cruciate ligament. In addition, fatigue and injuries to the lower extremities, pain in the legs, but also problems with the spine are excluded. They attach to a successful outcome of the treatment to help, wearing orthopedic shoes, fastening the ankle joint.

15.08.2018