Innate legs

Innate legs's disease overview

congenital legs (English name is Clubfoot) is a deformation defect in the foot that affects the function of motor and posture of the child. In the foot of the feet, the soft organization connects the muscles to the part of the bone shrinkage shorter than normal, causing the leg to be deformed like the shape of a golf stick. When touching congenital feet will feel hard and less flexible due to the muscles and ligaments in the feet shrinking.

Basically, the disease does not cause pain for children, but if not detected early and treated, then when children grow up, they will lead to serious imbalance, trouble with severe weight loss. , making walking and movement more difficult.

Research shows that one child is born with a child with this defect. Foot deformation occurs during pregnancy, so the disease is easy to detect after birth. If the disease is treated well, it can achieve good results without using surgical intervention.

Causes of Innate legs's disease

The cause of congenital leg disease has not been clearly researched. However, there are some hypotheses and related factors that are given to explain this defect:

Genetic or genetic factors in children

Accordingly, the cause of congenital legs may be due to:

  • Disability of developing the cartilage of the slug bone (a small bone in the ankle area, connecting the lower head of the leg to the feet) leading to folding, closed and tilted deformation of the foot.
  • The disorders in the fetal development make the bone (the bone that makes up the lower leg, attached to the ankle joint and the knee joint) develops slowly.

    • Genetic nerve factors are developed.

    Genetic mutations that cause deformation of the tendon of the bone. Factors in the period when pregnant mothers can cause fetal defects:

  • Due to the effects of cigarette smoke, industrial dust.

    • Due to the infected mother, infection or viral infection during pregnancy.

  • Due to the contraction of the amniotic membrane.
  • Due to the fetal arrangement in the womb.

    • Disabled or less amniotic fluid causes uterine muscles or umbilical cord to pinch on the fetus' feet.

    Symptoms of Innate legs's disease

    After the child is born, the main signs can be used to identify congenital leg disease including:

  • Overall look, congenital feet will be short and smaller than normal feet.
  • The shaft of the big toe is changed and upwards.
  • The front and middle parts of the feet shrink and shorter.
  • calf is small and shrink.
  • Anken's ankles and feet stretched, Achilles tendons are shrinking, heel tends to go high.
  • Feet deformed, the second half stretched, folded inside.

    • People at risk for Innate legs's disease

    Children who are at high risk of congenital leg disease include:

  • Babies born in a family with a history of relatives are stooped.
  • Boys have twice the incidence of legs.

    • Babies born by a mother with unhealthy living regime during pregnancy.

    Prevention of Innate legs's disease

    To minimize the risk of congenital legs for children, mothers need to pay attention during pregnancy:

  • No smoking as well as avoiding the smoke and toxic environment.
  • Avoid infection, infection.
  • Do not drink alcohol, do not use stimulants.
  • Provide enough nutrients needed for both mother and baby to avoid fetal defects .

    • Diagnostic measures for Innate legs's disease

    Patiently congenital legs and varying with each patient should be carefully examined.

    When birth, if the child has a severe defect, can be easily diagnosed based on clinical observation: a small heel, scoliosis, the calf muscles are tight.

    In case of mild defects, it is easy to misdiagnose because normal newborns also have twisted feet inward. At that time, doctors may appoint X-rays for accurate conclusions. X-ray film needs two straight, inclined and both sides of the foot to compare:

  • On the straight film: Normally, the vertical axis of the slug and heel bone creates an angle of 30-35º opened first, and for congenital bowed feet, these two axles are parallel to each other.
  • On the inclined film: Normally the vertical axis of the slug and heel bone creates an angle of 20º, and the feet are sick, these two axes are parallel to each other.

    • Innate legs's disease treatments

    With the development of modern technology that supports prenatal diagnosis, this pathology can be detected at the 18th week of pregnancy onwards. However, the intervention for treatment in the pre -birth period has not yet been implemented. Therefore, early detection and treatment of congenital legs right after birth is extremely important. Basically, there are two main methods used to treat congenital foot :

    Conservation treatment, dough:

    Gold standard of the treatment results is to achieve the perfect function to help children stand up, walk or move to run on hard ground without pain . The main methods used are:

  • Ponseti method: This is the most common method, often starting to apply for a period of one to two weeks after birth, when the child has stabilized. The principle of this method is to massage, manually adjust it to gradually modify bad deformations, then motionless with powder, can change the dough several times after each editing. >
  • French functional method method: This method needs close coordination with the family. Children with legs will be wearing orthopedic splint 20-23 hours/day.
    • Surgical treatment

    This method is only used when the feet are severely defects, corrective treatment and failure or deformed foot in the foot, poorly responding, slow.  

    See also:

  • Mai Ngoc Lan - The little girl will soon be able to run and run for childhood!
  • "shaping" the legs for a 3 -year -old girl to go normally
  • Surgery & Care after the congenital foot surgery

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