Valgus deformity of the tibia

Crooked legs is not only a cosmetic defect, but often serious disease, manifested by curvature of the tibia. Depending on the shape of legs distinguish varus deformity of the legs (limbs in the form of the letter "O") and valgus deformity of the legs (limbs in the shape of the letter "X"). If someone has problem with the legs not difficult to understand: any deviation from a straight line drawn through the projection of the hip joint, 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, demonstrating a large gap between the legs. If the knees will compress the person suffering valgus, the tibia will disperse to the sides, then when a discrepancy of more than five centimeters indicate the presence of valgus malformations of the extremities.

Curvature

Help. A small deviation of the ankle outward (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 considerable divergence of legs with closed knees. Interestingly, in some cases, reverse 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 is manifested most often after the child stand on his feet. In addition, tibia in children usually are deformed due to rapid bone growth amid slowing of the formation of the musculoskeletal system as a whole. When 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, he likely will develop flat feet and scoliosis.

Causes of valgus deformity of the tibia in children:

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

Causes valgus bending of the tibia in adults in many cases "come from childhood", because of the slow 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 one) cause injury of the lower extremities.

Symptoms of valgus deformity of the tibia

The main symptom of valgus curvature is X-shaped legs, there is an obvious displacement of the axes of the limbs. But only the external manifestations is not limited to: the person experiences pain in all movements of the leg and foot, including while walking. Load the limb unevenly distributed and concentrated on the knee and ankle joints, who are then gradually destroyed. If you do not start to treat 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 leg

Correct the defect during the remedial (varicose) osteotomy – surgery, which removed part of the femur, and then spliced the remaining parts using compression-distraction osteosynthesis, which the extremity is set the apparatus Elizarova (it can be used when necessary, and to lengthen the limb). If the patient has significant destruction of the knee joint, he is additionally doing reconstructive chondroplasty. Surgical treatment of valgus deformity of the tibia is not available to patients under the age of 18, 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 waiting for 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 disease should be shown 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 feet in children. Special attention needs to be given to nutrition in the diet is recommended to include foods rich in calcium, phosphorus and vitamin D (dairy products, fish, eggs, nuts).

Exercise. Experts advise to ride a bike, swim, play ball and walk 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 each 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 progress, that is, to improve tone of ligaments and muscles and thus to strengthen the limb. 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 pain they 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.

About 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 smooth, and the limbs seem 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 adjusted physical exertion (when you perform specific exercises you can "pump up", that is, increase in the volume of sural muscle), the contouring and the installation of silicone implants (cruroplasty). Usually in the form of a Shin change patients with underdeveloped, deformed, asymmetric calf muscles, among them many athletes and bodybuilders, that is, people for whom it is important to have a proportional body.

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

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

To what doctor to address the orthopedic surgeon.
09.09.2018