Congenital Foot Deformities in Preschool Children: Clinical Aspects and Algorithmic Approach in the Work of Pediatricians

Аннотация

Aim — analysis of the incidence of musculoskeletal system diseases and comorbid pathology in children; development of an algorithm for the rehabilitation of young children with congenital foot deformities for their parents and primary care professionals.

Materials and methods. 244 cards of complex rehabilitation in rehabilitation centers of the Samara region for the period from January 2013 to August 2016 were studied. The children were divided into two groups: I group — the core group — included children of senior preschool age who were born between 22-37 weeks of gestation with birth weight of 500-2499 g; group II — control group — included children of preschool age who were born at 38-41 weeks of gestation with birth weight 2500-4500 g.

Results. The study revealed the incidence of diseases of the musculoskeletal system in children in rehabilitation centers of the Samara region. The number of children with congenital deformities of the foot was 49.7% in the group of prematurely born children; flatfoot composed 42.3%, which proves the importance of the background condition (prematurity) in the development of congenital diseases of the foot. Multivariate analysis showed that the following factors are statistically significant: infantile cerebral palsy (p = 0.004), varus and valgus foot deformity (p<0.001) and hypotension (p<0.001). According to the results of the study a program was established that enables to determine the tactics of the follow-up of children, including prematurely born ones, depending on the type of congenital foot deformities.

Conclusion. Therefore, the pediatrician should take into account the presence of background diseases in children with congenital deformities of the foot and carry out primary preventive activities in cooperation with parents.

Список литературы

1. Stavlas P, Grivas TB, Michas C, et al.: The evolution of foot morphology in children between 6 and 17 years of age: a cross-sectional study based on footprints in a Mediterranean population. J Foot Ankle Surg, 2005;(44): 424–428.

2. Fabry G. Clinical practice. Static, axial, and rotational deformities of the lower extremities in children. Eur J Pediatr. 2010;169(5):529–34.  doi: 10.1007/s00431-009-1122-x.

3. Chang JH, Wang SH, Kuo CL, et al. Prevalence of flexible flatfoot in Taiwanese school-aged children in relation to obesity, gender, and age. Eur J Pediatr. 2010;169(4):447–52.  doi: 10.1007/s00431-009-1050-9.

4. Vanstory M, Chambliss ML, Mackler L. How should you treat a child with flat feet? J Fam Practice. 2010;59(6):360c-e.

5. Evans AM, Rome K, Peet L. The foot posture index, ankle lunge test, Beighton scale and the lower limb assessment score in healthy children: a reliability study. J Foot Ankle Res. 2012;5(1):1. doi: 10.1186/1757-1146-5-1.

 6.  Shih YF, Chen CY, Chen WY, et al. Lower extremity kinematics in children with and without flexible flatfoot: a comparative study. BMC Musculoskelet Disord. 2012;13:31.  doi: 10.1186/1471-2474-13-31.

7. Evans AM, Rome K. A Cochrane review of the evidence for non-surgical interventions for flexible pediatric flat feet. Eur J Phys Rehab Med. 2011;47(1):69–89.

8. Harris EJ, Vanore JV, Thomas JL, et al. Diagnosis and treatment of pediatric flatfoot. J Foot Ankle Surg. 2004;43(6):341–73.

9. Wicart P.: Cavus foot, from neonates to adolescents. Orthop Traumatol Surg Res, 2012;(98): 813–828. doi: 10.1016/j.otsr.2012.09.003. 

10. Volpon JB.: Footprint analysis during the growth period. J Pediatr Orthop, 1994;(14):83–85.

11. Cappello T, Song KM.: Determining treatment of flatfeet in children. Curr Opin Pediatr, 1998;(10):77–81.

12. Kaufman KR, Brodine SK, Shaffer RA, et al.: The effect of foot structure and range of motion on musculoskeletal overuse injuries. Am J Sports Med, 1999;(27):585-593.

13. Riccio I, Gimigliano F, Gimigliano R, et al. Rehabilitative treatment in flexible flatfoot: a perspective cohort study. Chir Organi Mov. 2009;93(3):101–7.  doi: 10.1007/s12306-009-0037-z.

Для цитирования

Mazur LI, Kurshina MV, Scherbitskaya OV. Congenital Foot Deformities in Preschool Children: Clinical Aspects and Algorithmic Approach in the Work of Pediatrician. Science & Innovations in Medicine. 2017;1(5):57-60.

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