The homeopathic practice of surgery : together with operative surgery . of this deformity: —1st. Talipes varus (Fig. 101), which is by far the most com-mon. In this the foot is turned in; the patient walks on the out- CLUB-FOOT — TALIPES. 161 side of it, the great toe turns inwards and upwards and the heelis elevated. The cause of this deformity is the contraction of themuscles of the calf of the leg and the adductors of the foot. 2d. Talipes equinus (Fig. 102). The heel is elevated fromhalf an inch in some cases to four or five inches in others. Thepatient walks on his toes or the ball of his
The homeopathic practice of surgery : together with operative surgery . of this deformity: —1st. Talipes varus (Fig. 101), which is by far the most com-mon. In this the foot is turned in; the patient walks on the out- CLUB-FOOT — TALIPES. 161 side of it, the great toe turns inwards and upwards and the heelis elevated. The cause of this deformity is the contraction of themuscles of the calf of the leg and the adductors of the foot. 2d. Talipes equinus (Fig. 102). The heel is elevated fromhalf an inch in some cases to four or five inches in others. Thepatient walks on his toes or the ball of his foot. He may pressprincipally on the side of the little toe, on that of the great toe,or on all of the toes equally with the ball. This is generallycaused by the contraction of the gastronemii muscles alone, butthe flexors of the toes may also be contracted. 3d. Talipes valgus. The foot is turned out so that the patientwalks on the inner surface, and the external edge is raised fromthe ground, the sole looking outwards. The heel is also drawn Fig. 102. Fig. upwards in this case. The adductor muscles and those of the calfare contracted. 4th. Talipes calcaneus (Fig. 103). The toes and foot are ele-vated so as to form an acute angle with the leg, while the heelrests upon the ground. Here the tibialus anticus and the exten-sor muscles of the toes are contracted. Any of these deformities may be caused by disease or acci-dent, but are most frequently congenital. 21 (PART n) 162 VARIETIES OF MAL-FORMATION AND REMEDIAL MEANS. Fm. 103. Treatment should be resorted to as early as possible. Whether congenital or accident-al, the proper treatment adoptedand carried out at the first dis-covery of the deformity willstand a very great chance ofsuccess. But a few years de-lay may effect such changes inthe bony structure as to renderany attempt, by operation orother means, abortive. Although in many cases theoperation of tenotomy may beabsolutely requisite, it does notfollow that oth
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