A treatise on orthopedic surgery . ted with rigid flat-foot, both deformitiesmay be overcorrected, under anaesthesia, and retained in properposition by a plaster bandage, as a preliminary treatment. If the milder type of painful joint is associated with the ordi-nary weak foot, the treatment of the latter condition will usuallyrelieve the symptoms. In this class, particularly among thepoorer patients, the shoe may be raised on the inner side andthe sole stiffened by means of the wedge-shaped sole, as alreadydescribed in the treatment of the weak and flat-foot. If painfulmotion is restricted, a
A treatise on orthopedic surgery . ted with rigid flat-foot, both deformitiesmay be overcorrected, under anaesthesia, and retained in properposition by a plaster bandage, as a preliminary treatment. If the milder type of painful joint is associated with the ordi-nary weak foot, the treatment of the latter condition will usuallyrelieve the symptoms. In this class, particularly among thepoorer patients, the shoe may be raised on the inner side andthe sole stiffened by means of the wedge-shaped sole, as alreadydescribed in the treatment of the weak and flat-foot. If painfulmotion is restricted, and if the exciting causes of the disability DISABILITIES AND DEFORMITIES OF TEE FOOT. 769 are removed, relief of the symptoms is usually immediate. Inthe chronic cases, in which the pathological changes are moreadvanced, excision of the joint may be necessary. PAINFUL GREAT TOE-JOINT IN OLDER SUBJECTS. A similar condition of the joint is sometimes found in oldersubjects. In many instances the foot is well-formed, and the Fig. Hallux rigidus and flat-foot, showing the persistent flexion of the toe on themetatarsal bone. restriction of motion in the joint is very slight; yet forced dorsalflexion causes pain, and long standing or walking induces dis-comfort, particularly a dull ache in the joint and sharp neuralgicpain referred to the terminal phalanx. In some cases the onsetof the symptoms may be ascribed to a long walk or mountainclimb, in others to wearing tight shoes, and in some instancesno definite cause can be assigned by the patient. In cases ofthis type the symptoms are often supposed to be evidences ofgout or rheumatism and in certain instances there is a distincthypertrophic change corresponding to Heberdens nodes on thefingers. Although in certain instances the discomfort may beaggravated by a constitutional disease, still no relief can be ob-49 770 OBTHOPEDIC SUBGEBY. tained by medication unless it is combined with the local treat-ment that has been described in
Size: 1415px × 1765px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
