. A practical manual of the treatment of club-foot. afalse theory, and the illustrations being copied fromthe really existing deformity. The vertical displacement taking place at themedio-tarsal junction is shown in Fig. 33, whichis a reduction from a tracing made by laying thefoot upon a piece of paper and carefully carrying alead pencil around its contour. The lateral divergence is readily shown bytracing upon a piece of paper the outline of thesole of the first case of varus that presents itself,and comparing the tracing with that of the oppo-site foot, if it be sound, or with that of any n
. A practical manual of the treatment of club-foot. afalse theory, and the illustrations being copied fromthe really existing deformity. The vertical displacement taking place at themedio-tarsal junction is shown in Fig. 33, whichis a reduction from a tracing made by laying thefoot upon a piece of paper and carefully carrying alead pencil around its contour. The lateral divergence is readily shown bytracing upon a piece of paper the outline of thesole of the first case of varus that presents itself,and comparing the tracing with that of the oppo-site foot, if it be sound, or with that of any normal 28 COMPLICATIONS OF TALIPES. foot of similar size. You will find that the de-formity does not consist in a twist at the ankle-joint, by which the toes are thrown inward andthe heel outward, but that the flexion occurs at thearch of the foot. The heel and posterior part,about one-third of the deformed foot, will coincidewith that of the normal one, while the anteriorpart turns suddenly inward at the middle of thetarsus. (See Fig. 7.) Fig. The Resultant Complications of Talipes are :—the effects of inflammation or irritation; defec-tive nutrition of the foot and leg; and the effectsof pressure in changing the bony structure. Inflammatory action is sometimes set up in the COMPLICATIONS OF TALIPES. 29 muscles as the result of direct injury ; this is veryfrequently the case with the fascise and integumentsin the sole of the foot. The result in either case isa permanent shortening of these tissues, which be-come then one of the first obstacles to be overcomein the treatment. But contracture is produced inanother way. The muscles that have remainedsound, if unirritated, contract only with a normaldegree of force; but a constant source of irritationis found in the malposition of the foot. Pressurebeing made in abnormal directions, and upon sur-faces not prepared for its reception, especially ifinflammation has heightened the sensibility, causesfrequent reflex contractions o
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Keywords: ., bookauthorsayrelew, bookcentury1800, bookdecade1870, bookyear1874
