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Orthopedic problems in children's toes

Orthopedic problems in children's toes



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Children's foot problems are not just restricted to the shape of the foot or even the way it is supported. The fingers can also suffer malformations or disorders.

On our site we tell you what are the main orthopedic problems that children can have in their toes.

1. Syndactyly: It is called the fusion of the toes, which can be partial, total, simple (only skin) or complex (includes nerves, blood vessels). X-ray or treatment is not usually necessary. If there are difficulties in the growth of the fingers or problems with footwear arise, they should be evaluated by the orthopedist and pediatrician.

2. Polydactyly: It is a frequent deformity with a hereditary tendency, it usually affects the fifth (little) finger. As in syndactyly, they can be simple, encompassing the skin or a phalanx (a piece of finger bone) or complex, being well developed with its tendons and blood vessels.

For its treatment, the presence of other abnormalities must be ruled out with a comparative radiograph of both feet. If it is accumulated pieces of skin or a rudimentary finger without function, it can be sewn with a silk suture at birth.

For complete additional fingers, surgical removal is advised between six months to one year of age.

3. “Overlapping” or “claw” or “hammer” fingers: It consists of abnormal positions of the fingers (mounted or shrunken) whose treatment goes through orthopedic correctors but which in the worst case and the best result is correction with surgery.

4. Hallux valgus or "bunions": it is a frequent alteration in adolescents. Associated more with women than men since the use of high heels and pointed shoes favors it. The first toe (big toe), is tucked "in" protruding out its base where there appears to be a hard, red and painful lump. It is advisable in these cases to wear well-fitting shoes, with a wide toe cap and sometimes an orthopedic device that prevents its evolution. In the most severe cases, where there is pain, you can choose to surgically realign the finger.

5. Regarding the absence of a finger, the missing finger should be assessed to define the appropriate treatment. If it is the first toe (big toe), as its absence affects the gait and balance of the body, it will be supplemented in the footwear with a special insole filling that gap. As the absence of the fingers refers to the outermost ones, the less important it has for gait and the less its corresponding treatment.

You can read more articles similar to Orthopedic problems in children's toes, in the category of Orthopedics and on-site traumatology.


Video: Flat foot in Children. Dr Vidya Sagar Chandanakere. Pediatric Orthopedic. Hi9 (August 2022).