Symptoms and preventive maintenance of internal rotation of foot
2016/07/05 14:52:18
First, an overview
Foot internal rotation (commonly known as foot eight) is the most common disease in children's foot clinic. Only children's internal rotation deformity and normal value are above two standard deviations.
Foot internal rotation refers to the habit of walking toe to toe when children walk forward. Severe internal rotation can cause children to fall easily when they walk. This step is gradually corrected to normal by wearing special orthopaedic shoes as children grow. Parents may worry that their children's internal rotation will persist as a permanent disability, so doctors are often required to correct their children's legs and feet by surgery. A large number of clinical cases abroad have shown that pediatric internal rotation can be corrected by wearing orthotic shoes and foot braces, without the need for surgery. For children, wearing orthopaedic shoes has a significant effect on the normal development of the feet.
The common causes of internal rotation include internal rotation of the tibia, internal rotation of the femur and metatarsal adduction.
1. Internal rotation of tibia:
When the fetus is in the womb, the limbs are curled up. After birth, the lower limbs gradually turn outward, so that the knees and feet can point to the way forward. If the tibia continues to rotate inward, treatment must be carried out within 24-36 months by wearing pediatric orthopaedic shoes because older children cannot afford these devices. Natural correction is usually done before age 4. Surgical correction should be considered if the tibia remains in rotation after the age of 8 to 10, or when significant walking impairment occurs.
2. Internal rotation of femur:
Some babies tend to have internal rotation when they are born. Severe internal rotation of the femur can lead to inversion of the knees and internal rotation of the feet. This is usually the most significant case at age 5,6. Most of the internal rotation of the femur is corrected by wearing orthopaedic shoes and orthosis. Young children should avoid sitting on the ground to form the habit of turning the inner thighs.
3. Metatarsus adduction (anterior foot bend):
When babies are born, the front and toes of the feet are normally slightly inwardly bent, and the more severe inwardness is similar to that of the horseshoe. Usually, external braces and orthopaedic shoes are needed to assist in orthopaedics, and there is a marked improvement in plantar recovery.
Three. Conditions for surgical treatment
Serious functional and / or appearance disorders
Children over 8 years of age
• more than three standard deviations above average.
No special shoes or orthoses are required after surgery.