A treatise on orthopedic surgery . extremely rare, as indicated by the statistics. Iftreated early by persistent massage supplemented by retentionapparatus, these, as well as nearly all slighter grades of congeni-tal deformity, may be corrected and cured even before the childbegins to walk. CONGENITAL DEFORMITIES OF THE FOOT ASSOCIATEDWITH DEFECTIVE DEVELOPMENT. Talipes Equinovalgus Associated with Congenital Absence ofthe Fibula.—This is a rare deformity, but the most common ofthis class. The foot at birth is usually in an attitude of well-marked and resistant equinovalgus. The leg is somewha
A treatise on orthopedic surgery . extremely rare, as indicated by the statistics. Iftreated early by persistent massage supplemented by retentionapparatus, these, as well as nearly all slighter grades of congeni-tal deformity, may be corrected and cured even before the childbegins to walk. CONGENITAL DEFORMITIES OF THE FOOT ASSOCIATEDWITH DEFECTIVE DEVELOPMENT. Talipes Equinovalgus Associated with Congenital Absence ofthe Fibula.—This is a rare deformity, but the most common ofthis class. The foot at birth is usually in an attitude of well-marked and resistant equinovalgus. The leg is somewhat shorterthan its fellow, and the tibia is often bent sharply forward,sometimes to an acute angle, at a point somewhat below , as if it had been broken. At the most prominent pointthe skin may be adherent or it may present a dimpled appear-ance. In some instances the formation of the foot is perfect,but more often one or more of the outer toes, with the corre-sponding metatarsal bones, are absent (Fig. 572). Fig. Congenital equinuvarus, with deformity of the great toes. DEFOBMITIES OF THE FOOT. 843 Statistics.—Haudek collected from the literature 97 cases. Ofthese 46 were in males, 21 were in females, and in 30 the sexwas not recorded. In 67 (69 per cent.) there was total absenceof the fibula. In 30 the de- fect was partial; of the lowerextremity of the fibula in 17,of the upper extremity in 9,and of the middle in 2 27 cases both fibulae wereabsent or defective, in 68 oneonly—the right in 31, theleft in 25, and in the othersthe side was not 61 cases toes were lacking,and in these cases it may beinferred that the correspond-ing metatarsal bones were ab-sent also. The fourth andfifth toes were absent in 27cases; the little toe alone wasmissing in 15. In many in-stances, as is usual in casesof defective development, de-formity of other parts waspresent; for example, in 17instances the patella was ab-sent or undeveloped and in11 the upper
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
