Valgus deformation of the first (thumb) finger is an orthopedic pathology where the finger deformed.Basically the disease occurs in women in 30 years.In people aged 15-30, in people aged 31-60, people aged 60 were found in people over 60 years older than 60 years old.The problem only leads to strong aesthetics, but also causes a change in all ligaments, tendons, joints and bones of the foot.
Pathogenesis
The angle between the first and tab's valgus deformation and the first and second bones, the first metatarsal bone is observed.The thumb of the leg slides aside and the bone head forms a bone.This bone does not allow the thumb to fit the norm and gradually goes beyond.Tubercle (bone) creates insertion, inflammation, friction and causes inflammation of the first metatarsofalanical combination.Gradually, the bone is inflamed and inflamed, painful.The uncertain position together leads to the increase in premature wear, cartilage lesion and size of bone growth.This, in turn, provokes further development and further development of pathology.As the disease progresses, the thumb lead the remaining fingers of the leg in the form of a hammer.As the disease develops, this is the main metat of coinciding parts, plain bags, fingers, the first metatarsophalal combination, flat stairs (chronic and transvers), bone and cartilage.
Form
In normal condition, metatarsal bones are parallel to each other.Under the influence of certain reasons, the first metatarsal bone removes bone and therefore loses the elasticity of pedestrians, ligaments and tendons, develops the dysfunction.
The disease has passed several stages:
- Early.At this stage, the stalk of the third of the foot is less than 15 degrees.
- Average.The first finger to the side of the finger is 15 to 20 degrees.At the same time, the second finger is deformed.It rises over the thumb and becomes a form for the hammer.
- Heavy.The thumb deviation is 30 degrees.All fingers of the leg are already deformed and have a large bone growth based on PHALANX.Where there is a great tension of the foot, rough corn appears.
Reasons
In the appearance of Valgus deformity, the main provocative factor is irregular shoes.If a person wears a narrow foot or a high shoe, then the fingers are in a wrong (compressed) position that constantly contributes to the development of valgus deformation.However, it is the reason for the development of this disease.The following reasons affect the appearance of pathology:
- traumatic damage to the lower leg and feet;
- rickets;
- Cerebral palsy;
- Polineuropathy;
- the lower bee of the leg;
- Straight legs;
- congenital weakness of muscular-lignramentous apparatus;
- chronic joint inflammation caused by the psoriasis;
- arthritis;
- more than one sclerosis (causing the shell of nervous fibers);
- Diabetes Mellitus;
- gout (the collapse of urine in the tissues of the body);
- Joint mobility hyper observed during Marthans and Down Syndrome;
- Youth Legs (fast increase in the size of the foot during the teenager);
- Charcot-Mari-Tuta's disease (accompanied by an atrophy of the muscles of the muscles of the distal limbs);
- osteoporosis (loss of bone);
- Overstrain in connection with professional activities (waiters, athletes, ballerines).
With the participation of postponed factors, the disease is moving rapidly.
Symptoms
Pathological signs depend on the degree of damage to the foot.In the first stage, the swelling of the tissues in the heated look, the tissues in the bone, pain in Phalanx, the pain of the phalan.In the stage of development of the disease, pain, swelling, bone in the field of bone, dry corn, the middle of the finger will appear dry corn under the middle phalanx.At the bottom of the foot and the heavy stage in the thumb, fierce, tedious aches appear.Dry corns occur and the keratinization of the skin appears under the second and third phalanges of the fingers.
Diagnosis
Diagnostic measures begin with the collection of the patient's mother.The doctor asks that the symptoms are concerned about the images, and the injuries of metabolic, systematic diseases, sub-extreme diseases in medical history, injuries of the legs of the bones.Next, an external inspection is carried out, and a person is asked to pass through this period.The doctor is watching the patient's gait when determining the intensity of pain.The position of the thumb in the foot is studies, explores its flexion and extension area relative to other fingers.Other foreign symptoms (swelling, redness, the thickening of the layer of the bottom of the bones of the fingers) are checked.The footing of the foot is carried out in three forecasts to determine the degree of deformation of the leg, determining the degree of joint and related pathologies.In the legs, an ultra of the veins is carried out to exclude blood circulation disorders.
Treatment
The therapy of the thumb of the leg is traditional and operational.In the early stages, doctors recommend choosing comfortable and correct shoes when you can do without surgery.The burden on his leg should not like friction.Comfortable shoes slowing down the progress of the disease.At the same time, the doctor advises to buy special orthopedic devices:
- gaskets for the joint bag of the thumb (eliminate shoe pressure);
- Intodlassen rolls, which helped the load properly on the road, Spacers.
All orthopedic devices reduce the pain, but it is impossible to get rid of anxiety with their help.It is used to eliminate pain and inflammation, non-anti-inflammatory drugs, corticosteroid injections.It is determined to eliminate spasms and restore joint mobility, massage and relaxing special gymnastics legs.
Efficiency of physiotherapy
Valgus is played by a significant role in the treatment of deformation, physiotherapy.To eliminate the disease, doctors set electrophoresis with calcium, phonophoresis of calcium, hydroocortison, paraffin and ozocerithic applications.Methods of eliminating the deformation of the thumb of one of the most impressive ones, shocking wave therapy (UVT).This procedure shows a short effect on the painful zone with an acoustic low-level pulse.With the help of UVT, pain symptoms are eliminated, the factors that contribute to the images are obtained.The procedure is carried out using a special device that creates shock waves.Only affects pathological areas without affecting healthy tissues.Metabolic processes are improving with the help of ultrasound.UVT NEVT, contagious, oncology, heart, somatic diseases, diabetes, do not have blood clotting disorders.Shocking wave therapy, pregnant women, nurse women and are not appointed for children under the age of 18.The effect of the procedure is observed after several procedures.The pain disappears, it becomes easier to walk.However, using an UVT procedure, it is impossible to delete the output.The doctor can set at least 5-7 sessions.Depending on the phase of the disease, the procedure is also determined.Some people are assigned daily sessions, others will be enough for a procedure per week.The result of the UVT treatment is a long time.
Surgery
Surgical treatment is assigned with the valgus deformation, which is the middle and heavy degree of the thumb in the leg.To eliminate the pathology, many methods achieved the following goals were prepared:
- Eliminate the first finger of the leg;
- The muscle stove of the muscles located in a damaged joint to prevent the relapse of the disease;
- To carry out the reconstruction of the thumb bones.
If the deformation is not strong, the growth of growth in a joint bag through a small incision is removed.After surgery, a person's foot, physiotherapy (at least 6 procedures), the wood needs rehabilitation with a bandage or shoe with the only bandage or shoe.The following transactions are currently underway with Valgus deformity of the thumb:
- Small deformation correction.Small cuts, on both sides of the thumb, with the help of miniature mills, are made on both sides of the thumb, which is the position of the metatarsal bones and phalanch of the finger.
- Chevron-oosteotomy.The operation is carried out with a finger deviation of not more than 17 degrees.The growth awakens and the thumb is made of Phalanxi with a screw and titanium wire.After a while, the structure is removed.
- Scarf-oosteotomy.The operation is 18-40 degrees, if the thumb deviation angle is 18-40 degrees.During the intervention, using the Hand Ceremony, the position of the metatarsal bones is corrected and then correct it with two titanium screws.
The output bone of the thumb of the foot is not just aesthetically ugly, but also a lot of concern when walking.The disease, which does not treat, causes complications in the work of the entire musalosheletal system.Therefore, everything should not be allowed over a gear and should contact the orthopedic if the first signs of deformation appear