A treatise on orthopedic surgery . the apex of theinward bulging and deformity is not at the mediotarsal joint,but anterior to it in the cuneiform region. In such cases the ^ Inward rotation of the limb, an attitude controlled by the muscles atthe hip, and inversion of the foot are usually confounded. Inward rotationof the limb (pigeon-toe) and eversion of the foot (weak foot) are oftencombined in childhood. 726 OBTHOPEDIC SUBGEBT. internal cuneiform bone maj be enlarged and sensitive topressure. Another form is the combination of a plantar flexed toe with adepressed arch (Fig. 476). Extreme d
A treatise on orthopedic surgery . the apex of theinward bulging and deformity is not at the mediotarsal joint,but anterior to it in the cuneiform region. In such cases the ^ Inward rotation of the limb, an attitude controlled by the muscles atthe hip, and inversion of the foot are usually confounded. Inward rotationof the limb (pigeon-toe) and eversion of the foot (weak foot) are oftencombined in childhood. 726 OBTHOPEDIC SUBGEBT. internal cuneiform bone maj be enlarged and sensitive topressure. Another form is the combination of a plantar flexed toe with adepressed arch (Fig. 476). Extreme deformity of this class isusually congenital. A milder type is not uncommon. (SeeHallux Rigidus.) A third variety is eversion at the mediotarsalregion combined with marked adduction of the is a congenital deformity. Weak Feet and Deformity of the —In childhood weak feetare often seen in combination with slight knock-knee (), while in later life knock-knee usually induces in compen- FiG. 474. Fig. Congenital flat-foot. Rigid deform-ity of an extreme type, illustrating thecomponent abduction and obliterationof the arch. Flat-foot illustrating extreme deformity inchildhood. sation the opposite attitude of adduction. (See Knock-knee.)Bow-leg in childhood is usually accompanied by slight adduc-tion of the feet, but later there is usually a certain degree ofcompensatory valgus, although it does not, as a rule, cause dis-comfort. G-eneral Weakness.—The direct effects of the weak and pain-ful foot have been described in detail. It must be borne in mindthat the feet support the body, and that an insecure supportaffects the entire mechanism. General functional weakness and DISABILITIES AND DEFORMITIES OF TEE FOOT. 727 awkwardness, the flat chest, round shoulders, or other curvaturesof the spine, are often observed as accompaniments or effects ofweak feet. Thus, as a rule, the systematic treatment of any formof postural weakness must include the treat
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