{"id":788,"date":"2024-08-25T08:07:01","date_gmt":"2024-08-25T08:07:01","guid":{"rendered":"https:\/\/trb-staging.stretch-well.com\/blog\/genu-valgum-x-legs\/"},"modified":"2026-03-01T07:37:28","modified_gmt":"2026-03-01T07:37:28","slug":"genu-valgum-x-legs","status":"publish","type":"post","link":"https:\/\/stretch-well.com\/en\/blog\/genu-valgum-x-legs\/","title":{"rendered":"Genu Valgum \u2013 “X legs”"},"content":{"rendered":"\n

Genu valgum <\/strong>, commonly called “knee knocking”, is a condition in which the knees fit and touch when the legs are straightened. Individuals with severe valgus deformities are usually unable to touch their feet while straightening their legs at the same time. The term comes from the Latin word “genus” which means knee and “valgus” which actually means bent outwards, but in this case it is used to describe the distal part of the knee joint that bends outwards, i.e. The angle between the tibia and the femur is open to the outside. So there is a convexity (protrusion) inwards, and the center of the convexity is the knee joint. <\/p>\n\n

Mild genu valgum is diagnosed when a person standing upright touching their feet also shows touching their knees. It can be seen in children between the ages of 2 and 5 and is often corrected naturally as children grow. However, the condition can continue or worsen with age, especially when it is the result of a disease such as rickets. <\/p>\n\n

Due to the disturbance of statics, due to prolonged standing, pain and fatigue occur in all pain of the lower extremities, and even in the lumbar spine.<\/p>\n\n

From a physiological point of view, the angle formed by the upper leg with the lower leg should be about 174 degrees<\/strong>. As a result of the load that is created due to the width of the pelvis and a slightly shorter femur, this angle in women is slightly smaller. Reducing the mentioned angle below this value leads to a shift of the load line outwards, which in the long term results in the development of changes in that part of the knee joint. The direction of the load force passes through the head and outer condyle of the femur and the head of the fibula to the inner part of the heel bone. In this position of the leg, the internal collateral bond (lig. The collateral tibiale, and the outer meniscus and articular cartilages of the outer condyle are subjected to greater pressure. At the same time, the joint cavity is narrowed on the outside and expanded on the inside of the joint. <\/p>\n\n

By measuring an angle, a value that is less than 170 degrees can often be obtained even by more than 10 degrees. <\/strong><\/p>\n\n

\"\"<\/figure>\n\n

Causes of occurrence<\/h2>\n\n

The deformity can occur as a result of improper position of the baby’s legs <\/strong> during pregnancy, as well as overweight <\/strong> and thereby load, especially at the stage of growth and development (advice to parents to avoid the use of walkers and lifting the child to his feet earlier than the child’s age allows, as well as the strength of the musculature itself).<\/p>\n\n

It can also occur as a consequence of an unknown cause \u2013 idiopathic <\/strong>, although in these cases it is considered that there is a fundamentally disorder in osteogenesis (the process of formation and formation of bones). Some of the causes can also be rickets<\/strong>, adductor contractures in the hip, <\/strong> etc. In adults, the cause of the development of the valgum gene may be an unhealed deformity from childhood <\/strong> or a fracture of a knee that has healed improperly. <\/p>\n\n

Advanced <\/strong> arthrosis (degenerative changes) <\/strong> of the knee with accompanying changes are often the cause of the development of deformity.<\/p>\n\n

It usually manifests itself bilaterally, rarely uniformly, and in that case it can be the cause of the development of scoliosis. <\/strong> It is more common in the female sex.<\/p>\n\n

Diagnosis:<\/h2>\n\n

In the described deformity, in the standing position, the thighs touch while the lower legs are separated from each other so that they form the “X” position at the knee joint. Often the deformity is associated with pes planovalgus, i.e. Flat soles. This is explainable if we take into account the fact that due to the fall of the longitudinal arch of the foot and taking the valgus position in the area of the foot, there is a change in statics on the entire lower limb, which is largely reflected in the knee joint. Changes are sometimes accompanied by pain. Weakness of the musculature of the lower extremities is a sign of incompetence, and when walking, it is possible to register mutual touching of the knees. With severe deformities, the knees even overlap. The development of deformities in children can occur after the age of 18 months. In a standing position, with the knees together, there is a distance between the ankles of the foot of more than 6 cm. This is often caused by excessive looseness of the structures on the inside of the knee. <\/p>\n\n

What is the seriousness of this deformity?<\/h3>\n\n

In addition to aesthetic reasons, “x-legs” can lead to functional changes such as:<\/p>\n\n

    \n
  • Rapid fatigue when standing and walking<\/li>\n\n\n\n
  • Severe pain in the area of the hips, knees, feet, lumbar spine<\/li>\n\n\n\n
  • Degenerative changes not only in the knee area, but also in other joints, especially the foot.<\/li>\n<\/ul>\n\n

    Prevention and treatment<\/h2>\n\n

    Prevention and treatment of this deformity involves the application of certain measures to restore the normal functioning of the knee. Prevention refers to exercises to strengthen the musculature of the lower extremities, as well as exercises to increase the range of motion in the joints. <\/p>\n\n

    Correction of deformity is achieved by applying a kinesitherapy exercise program consisting of the application of:<\/p>\n\n

      \n
    1. active measures \u2013 exercises to strengthen the insufficient and stretch the shortened muscles of the lower extremities<\/li>\n\n\n\n
    2. passive measures \u2013 various aids, supination wedge (insole that is placed in shoes).<\/li>\n<\/ol>\n\n

      In overweight people, weight reduction (dietary regimen with the use of a corrective exercise program) is of great importance.<\/p>\n\n

      Kinesitherapy leads to good results, especially if it is a minor deformity with functional changes. In the case of severe deformities, it is also necessary to wear certain corrective devices and rails, for which the cooperation of doctors and parents is necessary. In severe cases, surgical treatment is indicated. After surgery, he begins with the application of physical therapy. <\/p>\n\n

      <\/p>\n","protected":false},"excerpt":{"rendered":"

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