A treatise on orthopedic surgery . inst the most prominent part of its outerborder, which is at the junction of the os calcis and cuboid hand serves as a fulcrum over which the inverted foot maybe bent. The forefoot is then grasped firmly by the left hand,and one begins a series of outward twists over the fulcrum of theopposing palm, gently at first, with alternate relaxation of pres-sure, but with gradually increasing force as the resistant tissuesstretch under the tension. 816 OBTHOPEDIC SUEGEBY. If greater force is required, a triangular block of wood, wellpadded, may be used as
A treatise on orthopedic surgery . inst the most prominent part of its outerborder, which is at the junction of the os calcis and cuboid hand serves as a fulcrum over which the inverted foot maybe bent. The forefoot is then grasped firmly by the left hand,and one begins a series of outward twists over the fulcrum of theopposing palm, gently at first, with alternate relaxation of pres-sure, but with gradually increasing force as the resistant tissuesstretch under the tension. 816 OBTHOPEDIC SUEGEBY. If greater force is required, a triangular block of wood, wellpadded, may be used as the fulcrum (Fig. 548), one hand press-ing on the heel and the other on the forefoot; but there is a greatadvantage in using nothing but the hands, because one feels thatno injurious force is likely to be exerted. Under this steadymanipulation the foot soon loses its rigidity and its elastic recoiltoward deformity; it becomes so limp that with two fingers onecan not only hold the sole straight, but can push it or bend it Fig. Fldttenmg the sole. (Lorenz.^ outward. This completes the first stage of the methodical cor-rection. One then turns his attention to the inversion of the sole, whichmakes the outer border of the foot lower than the inner leg is grasped firmly near the ankle with the left hand, andwith the right the foot is forcibly twisted in a direction down-ward, outward, and upward, over and over again, with steadilyincreasing force as the tissues slowly yield, until it may beforced into a position of extreme abduction, so that the sole maybe made to look outward and downward—the reverse of theformer attitude. DEFOEMITIES OF THE FOOT. 817 One next stretches the contracted plantar fascia and reducesthe cavus which is usually present by forcing the forefoot towarddorsiflexion,, against the resistance of the contracted tendo Achil-lis, until the sole is made perfectly flat (Fig. 549). Finally,the fourth, and often the most difficult part of the rectifica
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
