Hallux valgus in children

Hallux valgus (bowed toe) occurs more rarely in childhood than in adulthood. It arises on the basis of heredity or later as a result of weakening of the fibrous and muscular apparatus of the foot (associated with the decrease of the longitudinal + transverse arch).

Clinical manifestations

 * pain in the area of ​​the meta-tarso-phalangeal joint of the thumb, a feeling of early fatigue in the forelegs.
 * thumb deviated from its axis towards the 2nd finger,
 * a flat medial prominence is formed on the head of the first metatarsus and a painful bursa above it.
 * gradually, arthitic changes develop in the metatarsophalangeal joint and there is a decrease in the longitudinal and transverse Arch of the foot.

X-ray image

 * valgus position of the thumb, varus position of the first metatarsal, medial prominence and arthrotic changes.

Therapy

 * orthopedic insoles, bunion correctors,
 * surgery in young patients – corrective osteotomy of the base (or close to the head) of the 1st metatarsus, associated with the release of soft tissues (e.g. Austin’s operation), in older patients and arthritic patients resection surgery according to Keller – resection of a third of the base of the base of the thumb, relief of the exostosis on metatarsal head.

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