Coxa Valga has many causes and can cause complications as well. Patients with this disorder may have hip pain that causes them to seek treatment. Other patients may have reduced range of motion or mobility because of damage to the hip joints. Patients may experience this simply from developmental delays or abnormalities.
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Coxa Valga has many causes and can cause complications as well. Patients with this disorder may have hip pain that causes them to seek treatment.
Other patients may have reduced range of motion or mobility because of damage to the hip joints. Patients may experience this simply from developmental delays or abnormalities. Children who suffer from cerebral palsy may also develop Coxa valga due to other weakened components of the hip and the inability of the muscles to maintain the correct position of these structures. Your doctor will be able to screen for this disorder.
Coxa valga Symptoms Coxa valga can occur in many ages of children although it is not seen as a problem in very young children because the angle of the hip is wider during the young years. In adults the wider angle of the hip is very much a cause for concern. This will most likely cause a great deal of pain or a loss of mobility.
Patients may also experience shortening of the leg or death of the tissue within the hip joint. Eventually patients may have difficulty even bearing weight to stand on the effected leg. This will lead to limping and a deformity of the muscles in the effected leg. Coxa valga Diagnosis If you have hip pain it is important to see your doctor for a full exam. Your physician will be able to rule out other causes of your pain and mobility issues. A full physical exam will be necessary to assess your level of function and your pain.
Your doctor will manipulate your hip in many positions and check to be sure that both of your legs are even in length. X-ray imaging will also be necessary to observe joint angle and make appropriate measurements. From here your health care provider can determine the best treatment plan for you and help you to manage any pain or mobility issues that you may be experiencing.
Cox valga Treatment Coxa valga may not need treatment if it is not causing any symptoms. This will usually be better for the patient although if you start to experience mobility issues or pain you should seek treatment early to prevent complications.
If treatment is needed your doctor may recommend either surgical or non surgical treatments. Non surgical options include physical therapy or devices that can help the patient to improve their mobility.
These devices include walkers, canes, or crutches in some cases. If surgery is required your doctor will cut into your hip bone and move it to make the angle more narrow and improve your mobility or pain issues. Although this surgery can cause complications in some patients and you may have pain after surgery as well. Surgery is not normally the first line of treatment for Coxa Valga and is only used when other treatments have been exhausted.
Developmental Coxa Vara
Usually associated with a painless hip due to mild abductor weakness and mild limb length discrepancy. If there is a bilateral involvement the child might have a waddling gait or trendelenburg gait with an increased lumbar lordosis. The greater trochanter is usually prominent on palpation and is more proximal. Restricted abduction and internal rotation. X-ray: decreased neck shaft angle, increased cervicofemoral angle, vertical physis, shortened femoral neck decrease in femoral anteversion. Treatment: HE angle of 45—60 degrees: observation and periodic follow up. If HE angle is reduced to 38 degrees, less evidence of recurrence; post operative spica cast is used for a period of 6—8 weeks.
Coxa Valga Causes, Symptoms, Diagnosis
Enhance your health with free online physiotherapy exercise lessons and videos about various disease and health condition By Prodyut Das by Molly Washington, District of Columbia A pathological increase in the medial angulation between the neck and the shaft is called coxa valga, and a pathological decrease is called coxa vara. As with the angle of inclination of the humerus, there are variations not only among individuals but also from side to side. In women, the angle of inclination is somewhat smaller than in men, owing to the greater width of the female pelvis. With the normal angle of inclination, the greater trochanter lies at the level of the center of the femoral head. The angle of inclination of the femur changes across the life span, being substantially greater in infancy and childhood and gradually decline to about degrees in normal elderly person. In Dysplastic Hip structural deviations of femoral anteversion, coxa valga, and a shallow acetabulum can result in increased articular exposure of the femoral head, less congruence and reduced stability of the hip joint in neutral weight bearing position. If hip dysplasia is diagnosed in infancy then frog leg positioning can help using something like Frejka pillow or Pavlik harness to decrease the deformity by increasing the contact between the femoral head and acetabulum.