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В классическом случае стопа повернута внутрь и вниз, что затрудняет нормальную ходьбу [1](https://mc-neo.ru/symptom/kosolapost/). \n\n**Виды косолапости**: \n- **Врождённая** — развивается у ребёнка ещё до рождения, диагностируется сразу после его появления на свет [1](https://mc-neo.ru/symptom/kosolapost/). \n- **Приобретённая** — возникает в более позднем возрасте из-за травм, заболеваний или других внешних факторов [1](https://mc-neo.ru/symptom/kosolapost/). \n- **Статическая** — развивается из-за слабости мышц и связок стопы, часто встречается у детей младшего возраста [1](https://mc-neo.ru/symptom/kosolapost/). \n- **Спастическая** — связана с повышенным тонусом мышц, например, при детском церебральном параличе (ДЦП) [1](https://mc-neo.ru/symptom/kosolapost/).\n\n\n\n## Причины\n**Врождённая косолапость** развивается внутриутробно, точные причины её формирования до конца не изучены [7](https://locmr.ru/articles/kosolapost/). Некоторые факторы: \n* генетическая предрасположенность — при наличии косолапости у близких родственников риск рождения ребёнка с такой деформацией повышается [7](https://locmr.ru/articles/kosolapost/); \n* неправильное положение стоп плода в матке, особенно в поздние сроки беременности [7](https://locmr.ru/articles/kosolapost/); \n* недоразвитие мышц и сухожилий голени и стопы у плода, а также нарушения формирования нервной системы [7](https://locmr.ru/articles/kosolapost/). \n\n**Приобретённая косолапость** у взрослых обычно является следствием травм голеностопного сустава и стопы (переломы лодыжек, повреждения связок и сухожилий) [7](https://locmr.ru/articles/kosolapost/).\n\n## Симптомы\n**Некоторые признаки косолапости**: \n* неестественное положение стопы — она как бы «подвёрнута» внутрь, имеет серповидную форму [12](https://dnk.clinic/blog/detail/kosolapost-u-detey/); \n* ограниченная подвижность голеностопного сустава [13](https://polyclinika.ru/direction2/pediatriya/kosolapost-u-detey/); \n* нарушение походки (неровная или шаркающая походка) [1](https://mc-neo.ru/symptom/kosolapost/); \n* в тяжёлых случаях — трудности с подбором обуви [1](https://mc-neo.ru/symptom/kosolapost/).\n\n## Диагностика\n**Для диагностики косолапости** проводят: \n* **Визуальный осмотр врача** — специалист оценивает положение стоп и голеней, степень их отклонения от физиологической оси [12](https://dnk.clinic/blog/detail/kosolapost-u-detey/). \n* **Рентгенографию стоп и голеностопных суставов в двух проекциях** — позволяет оценить положение костей, суставов и определить степень деформации [12](https://dnk.clinic/blog/detail/kosolapost-u-detey/). \n* **Ультразвуковое исследование (УЗИ)** — применяется внутриутробно (с 16-й недели) и у новорождённых, но не даёт окончательного диагноза [12](https://dnk.clinic/blog/detail/kosolapost-u-detey/).\n\n## Лечение\n**Лечение косолапости** делится на консервативное и хирургическое [12](https://dnk.clinic/blog/detail/kosolapost-u-detey/). Выбор метода зависит от времени начала терапии, выраженности деформации, типа патологии, степени функциональных нарушений и возраста пациента [12](https://dnk.clinic/blog/detail/kosolapost-u-detey/). \n\n**Некоторые методы консервативного лечения**: \n* **Лечебная гимнастика (ЛФК)** — комплекс упражнений для укрепления мышц и улучшения подвижности суставов [1](https://mc-neo.ru/symptom/kosolapost/). \n* **Массаж** — помогает улучшить кровообращение, снизить напряжение мышц и корректировать положение стопы [13](https://polyclinika.ru/direction2/pediatriya/kosolapost-u-detey/). \n* **Ношение ортопедической обуви** [13](https://polyclinika.ru/direction2/pediatriya/kosolapost-u-detey/). \n\n**Хирургическое вмешательство** показано только в тяжёлых случаях, когда консервативные методы не дают результата [1](https://mc-neo.ru/symptom/kosolapost/). 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