. The surgical treatment of the common deformities of children . Fig. 49.—Dissection of equino-varus club-foot, dorsal view (Adams). displacement of the internal cuneiform bone. Thisinclination inwards affects more or less all theextensor tendons on the front of the foot, but mostof all the tendon of the tibialis anticus, which, insevere cases, comes to lie over the internal malleoluson its way to its insertion in the internal cuneiformbone. The tibialis posticus (a) {Fig. 49) is displaced from. j,\IJm of equino-varus club-foot, plantar view (Adams). CONGENITAL EQUINO-VARUS. 137
. The surgical treatment of the common deformities of children . Fig. 49.—Dissection of equino-varus club-foot, dorsal view (Adams). displacement of the internal cuneiform bone. Thisinclination inwards affects more or less all theextensor tendons on the front of the foot, but mostof all the tendon of the tibialis anticus, which, insevere cases, comes to lie over the internal malleoluson its way to its insertion in the internal cuneiformbone. The tibialis posticus (a) {Fig. 49) is displaced from. j,\IJm of equino-varus club-foot, plantar view (Adams). CONGENITAL EQUINO-VARUS. 137 its position behind the inner malleolus by reasonof the elevation and rotation of the tuberosity ofthe os calcis, so that it runs relatively furtherforward than in the normal foot. The tendo Achilles at its insertion into the Thetendo Achilles. tuberosity of the os calcis will be found to lie nearerto the external than to the internal malleolus, sothat it is displaced outwards, and is, as Adamshas remarked, further removed from the posteriortibial artery than in a normal foot. The other muscles, the tendons of which areoccasionally found to be contracted in equino-varus,and thus prevent restitution of the foot, are theextensor proprius pollicis, the long flexors of thegreat toe and of the other toes, and the abductor ofthe great toe. The place and manner of divisionof these various tendons will be presently described. The morbid anatomy of simple congenital varusclub-foot is not here di
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Keywords: ., bookcentury1800, booksubjectabnormalitieshu, booksubjectchildren
