Buckle foot
| Classification according to ICD-10 | |
|---|---|
| M21.0 | Valgus deformity, not elsewhere classified |
| Q66.6 | Other congenital valgus deformities of the feet |
| ICD-10 online (WHO version 2019) | |
An articulated foot ( pes valgus ) is a pathological misalignment of the foot , with a depression on the medial (inner) edge of the foot and an elevation of the lateral (outer) edge of the foot.
Development stages and prevention
The skew foot often occurs in conjunction with the lowering or puncture on. In a toddler, a buckle foot is physiological over a certain period of time, i.e. H. the normal case. At the age of eight to ten years, however, the child's foot should be firm enough that the foot no longer or only minimally buckles inward. If this is not the case, foot exercises should be started as early as possible. Even walking barefoot on uneven natural surfaces a positive impact on the stabilization of the foot.
Pain occurs mainly on the inner ankle and the inner longitudinal vault (since there is often a depression at the same time). The ankle pain later pulls up on the side of the leg. The inner ankle protrudes strongly, there is a shift in the lower ankle joint, with the heel bone deviating outwards.
causes
Buckefoot can be acquired or congenital in the course of life. Acquired buckles can be the result of arched feet, trauma, spastic paralysis , infection as well as rheumatism , overload damage with unstable ligaments or obesity with misaligned legs.
Creation of the buckle foot
Due to excessive strain on the feet in relation to muscle strength (mostly in childhood), the talus is pressed down and shifted medially. The heel bone gets into the pronation position . This makes the inner ankle appear stronger and the ankle bone is clearly visible under the inner ankle (this "double ankle" is the most visible sign of the arched foot). Due to the changed position of the ankle bone in the ankle fork, the foot is inclined in relation to the lower leg, and the inner edge of the foot is also lowered.
consequences
Basically, the buckle foot affects the statics of the body. Bow-legs , knock-knees and knee problems are the result of untreated buckled feet.
In addition, the pelvis is tilted with the knock-knee position, which can lead to a stronger lordosis in the lumbar spine . In this regard, further pain can arise here, up to the head.
treatment
If the buckle foot is in connection with a flat foot, you can achieve normalization of the foot at school age with modern custom-made insoles and additional medical or foot gymnastics. In severe cases, Nancy-Hylton or ring orthoses may be required.
Buckle foot in animals
A pes valgus occurs mainly in large domestic dog breeds . The cause here is a disturbance in the growth of the lower (distal) fibula - epiphyseal plate . Secondarily, the limb misalignment can lead to patellar dislocation . Treatment is through a corrective osteotomy .
See also
Individual evidence
- ↑ Christine Pepper and Martin Kramer: Selected orthopedic diseases during the growth phase in dogs and cats. In: Kleintierpraxis 58 (2013), pp. 306-320.
