Варикозная болезнь нижних конечностей в сочетании с Hallus valgus

Abstract

Our research is dedicated to the combined pathology of musculoskeletal system – Hallux valgus with varicose veins of lower extremities that are common in the surgical practice. This study allowed us to estimate frequency of hallux valgus and varicose veins combined with each other and also to identify main factors that contribute to these diseases progression. Methods and principles of the research. To diagnose the combined pathology instrumental investigation (foot X-ray in two planes) was performed in 40 (36,7%) patients out of 109 that were under treatment in the surgical unit of the General Surgery department in “Private Healthcare Institution Clinical Hospital Russian Railways– Medicine”, Tyumen in 2019 and had varicose veins treated previously. A questionnaire was developed for conducting a sociological study. Results. The main reason of these diseases occurring is the congenital connective tissue defect and the veins wall weakening caused by the genetic predisposition. The acquired factors are: lifestyle and type of work (frequent and protracted static muscle load, wearing uncomfortable footwear), obesity. It is identified that the combined pathology (Varicose veins and Hallux Valgus) occur in every third patient, suffering from varicose veins. According to the results of the survey, 28 (70%) patients have genetic factors. Prolonged static load prevails among acquired factors, obesity takes the second position and it is diagnosed in 16 cases (11 women and 5 men). Conclusion. The frequency of these diseases occurring together was 36,7% in our study. Systemic approach allows to comprehensively assess various pathological changes in the blood and lymph circulation. “Combined pathology of musculoskeletal system” booklet was developed and implemented into the practical healthcare (among municipal polyclinics of Tyumen).