很多宝妈关心孩子O型腿与X型腿问题,其实有些担心是多余的

国内新闻 阅读(1961)

昨天一个湖北的宝妈拍照给我看,孩子出生到目前60多天了,孩子腿是弯的,宝妈特备担心,我通过给我看的图片判断这种型腿是弯的,但是这个是生理性的,不用治疗,其实每个刚出生的孩子腿都是弯的,宝妈们不用担心,今天我就再次讲解下。

型腿即为人们常说的“罗圈腿”,医学上称之为“膝内翻”,即两小腿间距较大。儿童型腿主要是由于维生素d缺乏性佝偻病或营养障碍。事实上,因儿童下肢发育的规律,绝大多数的形腿和X形腿都是生理性的,儿童骨骼的发育会自行的矫正。婴儿出生后主要以形腿为主要表现,直至1岁半左右儿童下肢会逐渐变直,到2-3岁时又可出现约15度的膝外翻,7-8岁时下肢力线发育逐渐接近于成人。在以上年龄段出现的腿形绝大多数是生理性,不要过于担心和矫正,避免矫枉过正。成年人型腿多与长期不良姿势有关,如坐姿不正确,跷二郎腿,长期穿高跟鞋等,所以要想缓解治疗型腿,成年人则需立即改正不良习惯,若无法自行纠正则需到医院就诊。儿童则需及时到医院治疗。

4bf1f439428f4fb5b8d72c69de74fc01

XXAt the age of toddlers, most children have a slight inversion because varus is a steady state and is easy to stand. 1 to 2 years old, this inversion will change to eversion. Usually 2 years old children's legs are not straight, if it is very mild, mostly physiological knee varus. More than 2 years old, the child's leg muscles develop, the balance ability is significantly improved, and the physiologically mild knee valgus will be naturally corrected. However, there are many reasons for pathological knee valgus, such as rickets, trauma, inflammation and some congenital diseases. During the growth and development of children, if there is pathological knee varus, such as secondary to rickets, mucopolysaccharidosis, trauma, inflammation, osteochondral dysplasia or cartilage; further idiopathic knee varus over 7 years old The resulting O-leg can not be corrected by itself; in this case, the parent needs to take the child to the professional hospital to treat the primary disease, and to evaluate and correct the O-leg.

9630c725852349fb9c3c6f3266084a51

First of all, we must see whether the knees and the double jaws can be close together at the same time. Secondly, it is necessary to judge whether the hip joint is in the inner rotation type or the outer rotation type. When standing naturally, when the eyes and knees are close together, if the knees are inwardly facing each other, the hips are internally rotated, and if the knees are open to the outside, they are externally rotated. Parents can make rough measurements. If the internal hemorrhoids are more than 3 cm or the knees are more than 3 cm apart, which is about the width of two fingers of an adult, it may be considered a pathological leg deformity that requires medical intervention. Once the patient has exceeded the normal range of knee varus or knee valgus, treatment is required, especially when choosing a corrective shoe or brace treatment, the younger the child, the better the effect.

8bd67a9f-6110-44fa-b7c7-afff24a6087a

1. The knee inversion causes the force line of the lower limb to change. The inner space of the knee joint is subjected to pressure greater than the normal load. In the long run, the joint of the knee joint is degenerated, and eventually the knee joint osteoarthritis may cause pain. It is necessary to perform artificial joint replacement surgery, and early treatment is very important.

xx如图2所示,膝外翻导致下肢的力线改变,并且膝关节的侧向空间承受大于正常负荷的压力。从长远来看,膝关节侧关节的关节退化。

3,长膝内翻,引起髋关节内旋,痰内收,牵连腰椎,引起腰椎间盘突出。

4,影响美观,给人一种自卑感,女人羞于穿短裙和紧身裤。

5,腿部畸形不仅影响身体形态和健美,还会损害人体健康。对人体形状的危害和由此带来的巨大心理压力。

d94cb14ab3b141299bc5770d44890990

1.发育因素导致身体发育过程中营养不良或肠道疾病,骨骼发育障碍,骨骼变形或关节软骨发育不良以及膝内翻变化导致钙,磷等营养素缺乏;

2,不平衡因素由于长期不良姿势或不正确的用力习惯引起的肌肉力学关节失衡,长期肌肉力学失衡可导致关节移位,并形成膝内翻。

3.由创伤或其他疾病引起的O型腿。

4,正常情况下,膝关节内外侧副韧带不是O型腿形成的关键因素,但在某些情况下,如外侧副韧带损伤等引起的创伤,膝关节的稳定性也可以导致O型腿,在运动员中,治疗受伤的韧带更常见。

8ff6b35c12d0433e98c3d5e565bce8fd

如果父母的O型腿或X腿是由获得性疾病引起的,例如创伤,维生素缺乏或脊髓灰质炎,则父母的细胞核中没有遗传致病基因。此类型不会传递给下一个。一代人;如果父母的O型腿或X腿是遗传性疾病,如先天性代谢异常或遗传性骨发育不良,常见的软骨发育不全,干骺端发育不良,干燥综合征,多发性内源性软骨瘤等,将会传给下一代。

因此,它将被传递给后代,这取决于父母的O型腿或X腿是否是遗传性疾病。

3185f0709bec4cffa91b6802f99b8841

1,正确的年龄做正确的事。不建议采取早产儿。当孩子的下肢力量增加时,他们会慢慢学会爬,站,甚至走路。不要太早使用助行器!

2,佝偻病,外伤,姿势不良都会引起儿童腿部变形。因此,在孩子的成长和发育过程中,父母仍需要防止孩子的下肢变形。例如,当孩子2-3岁时,如果你想骑婴儿车,骑婴儿车的时间不应太长。一般来说,骑行约30分钟是合适的。

3,培养孩子的良好习惯和姿势,养成穿鞋的良好习惯,正确的睡眠和坐姿,让肥胖儿童减肥。

91867c11-34d3-4a00-8b76-bf55a44d96d1

如果孩子继续有X腿或O型腿,有必要及时去专科门诊小儿骨科,以排除这种情况是否由病理引起。如果是病理状况,就要进行早期治疗支具治疗,甚至手术治疗。

祝你们平安健康!快乐的童年!

如果侵权联系,图像源网络被删除

参考文献:1,《O型腿和X型腿-需要补钙吗?需要矫形吗?》2,《什么是O 型腿和X 型腿》健康与健康四川农业科技38第5期,1999年3,(瑞士)鲁迪,(加)巴克利,(英)莫兰等[M]。 AO骨折治疗原理第2版:上海科学技术出版社,20104,(美国)Carnell,(美国)Betty [M]。坎贝尔整形外科,第11版:人民军医出版社,2011年