A treatise on orthopedic surgery . tatarsophalangeal joint. It may be stated in this connection that in the ordinary formsof metatarsalgia patients often refer the pain and local sensi-tiveness to the anterior extremity of the metatarsal bone ratherthan to its lateral aspect. Persistent dorsal flexion of the toesthat is so commonly associated with depression of the arch bysubjecting this portion of the joint to abnormal pressure, mayexplain the location of the pain. But except in extreme casesit can hardly be classed as a subluxation. ACHILLOBURSITIS. Synon3nais.—Achillodynia, achillobursitis
A treatise on orthopedic surgery . tatarsophalangeal joint. It may be stated in this connection that in the ordinary formsof metatarsalgia patients often refer the pain and local sensi-tiveness to the anterior extremity of the metatarsal bone ratherthan to its lateral aspect. Persistent dorsal flexion of the toesthat is so commonly associated with depression of the arch bysubjecting this portion of the joint to abnormal pressure, mayexplain the location of the pain. But except in extreme casesit can hardly be classed as a subluxation. ACHILLOBURSITIS. Synon3nais.—Achillodynia, achillobursitis anterior, retrocal-caneobursitis. Under the title of Achillodynia, Albert,^ in 1893, called par-ticular attention to an affection characterized by pain and sen-sitiveness about the insertion of the tendo Achillis, symptomsusually caused by irritation or inflammation of the small bursalying between the insertion of the tendon and the bone (). ^ New York Medical Eecord, January 18, 1887.^Wiener med. Presse, January 8, 762 OBTHOPEBIC SUBGEBY. —In the acute cases the cause of the bursitis oftenappears to be a strain of the tendon or direct injury, as thesymptoms appear immediately after running or jumping orafter a fall^ sometimes after a long walk or bicycle ride. In the subacute cases the symptoms may begin almost imper-ceptibly, so that it may be impossible to assigii a direct causeother than the pressure of the shoe, ag-?^^^- ^^^- gravated, it may be, by an exostosis of the OS calcis beneath the insertion of thetendon or by concretions within thebursa. In many instances rheumatism,gout, gonorrh(Pa, or one of the infectiousdiseases appear to be associated, directlyor indirectly, with the onset of the symp-toms, or the bursa may be secondarilyinvolved in tuberculous disease of the oscalcis. Sjmaptoms—In a typical case pain isfelt in the back of the heel at the inser- Bursa between the . „ , , , ... , tendo Achiiiis and the os tiou ol the tcudou; th
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