HALLUX VALGUS

Hallux valgus (hallux valgus) stop is characterized by the curvature of the metatarsophalangeal joint of the first toe and accompanied by deformity of the other toes of the foot.

stop

Causes

The main reasons for the development of hallux valgus stop is:

  • the hereditary factor (this condition has been observed in close relatives);
  • transverse platypodia;
  • endocrine disorders in the body;
  • osteoporosis.

The disease is more common in women than in men, at a ratio of 8:2. Transverse flatfoot is due to weakness of the connective and bone tissues of the foot. Development of this type of flat feet, cause wearing uncomfortable and tight shoes, high heel shoes, which leads to uneven load distribution on the foot, the result is a deformation of the front of the foot and can develop into arthritis of the big toe joint.

The symptoms of hallux valgus

The symptoms of hallux valgus include:

  • apparent deviation of the big toe to the outside;
  • a gradual increase in the size of the "bone" on the leg;
  • malleo characteristic form of the other toes;
  • pain in the joints of the foot;
  • fatigue of the legs while driving;
  • problems in selecting shoes.

Diagnosis

To assign adequate treatment and to prevent progression of the disease, it is necessary to conduct a full examination of the patient, to determine the true causes of disease and determine the stage of the process.

The main methods of diagnosis:

  • full-time consulting ortopedatravmatologa;
  • x-rays stop in 3 projections in order to determine the degree of deformity, and identification of co-morbidities;
  • plantography – to determine flat feet (footprints);
  • differential diagnosis – to rule out diseases with similar symptoms (arthritis, gout, osteoarthritis deformans).

The patient

The patient must apply to a relevant specialist to conduct the necessary examinations and treatment in order to prevent unwanted complications.

The treatment of hallux valgus

The treatment of this disease does the doctor ortopedatravmatolog to contact a doctor when the first symptoms of the disease.

Conservative treatment of hallux valgus belongs to the non-surgical methods. To him include:

  • wearing orthotic insoles (arch supports) and night splints
  • the use of interdigital pads;
  • physiotherapy treatment;
  • therapeutic exercises of the toes and feet.
  • introduction intra-articular injections of hormonal origin of inflammation.

The use of conservative treatment does not lead to full recovery and more effective in the early stages of the disease.

In advanced forms of the disease to operative treatment. There are over hundreds of methods of surgical treatment of hallux valgus. Basic methods of surgical treatment:

  • ekzostektomiya – surgical method in which the excision of a small section of the metatarsal head;
  • osteotomy – a method in which the patient removes a portion of the phalanx of a finger or part of a metatarsal bone;
  • arthrodesis is the operation in which the joint of the big toe is fixed in a stationary state;
  • Tumor arthroplasty surgical removal of a small portion of the metatarsophalangeal joint from the metatarsal;
  • surgical intervention to restore the ligaments around the metatarsophalangeal joint of the big toe;
  • surgery with replacement of the affected joint for the implant.

After surgery, the patient will be able to walk, relying totally on metatarsus, starting 3 weeks after surgery. The recovery period is about 23 months from the date of surgical treatment.

Complications

In the case that the deformation was minor, and the treatment is carried out correctly and in a timely manner, the appearance and function of the joint can recover without consequences. In advanced forms of hallux valgus, pain can persist even after surgical treatment.

In the absence of timely and correct treatment, the joints of the foot deform, which can lead to chronic bursitis. As a complication of the disease can occur disease Deychlendera, which is characterized by a restructuring of the metatarsal bones of the foot.

Prevention of hallux valgus

Prevention is recommended:

  • regular examination ortopedatravmatologa for early detection of flat feet;
  • wearing comfortable shoes (no high heels, natural materials, shoes that don't press, with a heel height of not more than 7 cm);
  • regular wearing orthopedic insoles;
  • adherence to work and rest, if the work of man is connected with additional load on the lower limbs.
22.08.2018