Based in the heart of NY, Advance Foot and Ankle Solutions offer the best treatment for your ankle valgus. Look no further when you can have direct access to the globally acclaimed team of foot and ankle doctors, supervising & managing your condition of ankle valgus with diligence and dedication.
Advance Foot and Ankle Solutions support team is absolutely attentive to your ankle valgus related issues. Call & book an appointment right away for professionally treated ankle valgus to lead a healthy, avid lifestyle.
Ankle Valgus: Elucidated By Your Foot And Ankle Care Doctor
Ankle valgus, as the name suggests, is a pernicious deformity occurring at the point where the distal tip of fibula enters the ankle region, giving rise to a pronated foot along with the medial ankle prominence.
This condition is best treated during childhood period by timely intervention. If left untreated, the anomaly may well proceed to take over graver aspects, in spite of wearing corrective footwear or customized orthotic devices. The foot might face gradual collapse at the affected ankle zone, the matured skeletal structure reducing the treatment options down to surgical process of osteotomy only. It should be taken note of that at maturity the physis of the fibular distal tip closes, thereby leaving your foot & ankle surgeon with no treatment option other than bone osteotomy.
Ankle valgus needs to be differentiated from hind foot valgus, another condition of the foot that is quite similar to the former. Only with the aid of appropriate radiographs can both the conditions be identified separately and managed correctly.
Ankle Valgus: Anatomical Features Observed
Ankle valgus is usually presented having the following salient characteristics:
- Lateral Distal Tibial Angle (LDTA) lesser than 87˚ with the horizontal
- Fibular Physis developed above the plafond region, reducing treatment options
- Laterally Pronated Plafond turning the ankle protuberance more prominent
- Elevated & Bulged Out Fibular Tip signifying the valgus condition
- Tibial Epiphysis that is triangular and wedged
- Widened Tibiofibular Joint becoming a close possibility
Ankle Valgus: The Probable Associated Causes
Ankle valgus is usually not present at birth; it develops gradually over a period of time owing to the following set of conditions, some of which are congenital:
- Congenital Clubfoot
- Down Syndrome
- Hereditary Multiple Exostoses
- Ball-and-socket Ankle
- Cerebral Palsy
- Skeletal Dysplasia
- Spina Bifida
- Postaxial Hypoplasia
- Posttraumatic Effects
- Neuromuscular Disorders
Ankle Valgus: Signs & Symptoms
Ankle valgus is presented with a variety of observable effects that become apparent upon the initial physical inspection.
- Lateral Shift In The Heel
- Increased Prominence In The Medial Malleolus
- Skin irritation Owing To The Bulge Being Brushed Against The Shoes
- Painful Sensation In The Lateral Side
- Lateral Aspect Of Distal Tibial Epiphysis Seen Wedged
- Broadened Distal Fibular Epiphysis Due To Higher Weight Bearing
Ankle Valgus: The Treatment Methodology
The treatment course of ankle valgus essentially involves the implants of screws or plates within the medial malleolar region. The former method of inserting screws is seen to be less successful than the latter one due to the likelihood of the screws bending, twisting, breaking apart or being displaced intra-articular.
- Implanting Atransphyseal Screws in the medial malleolar region that presents as a rigid insertion
- Guided Growth With Plate Fixation accompanied with a flexible tension band that provides faster valgus rectification on monthly basis