A treatise on orthopedic surgery . deformity is so extreme that the patient actu-ally appears to walk on theoutside of his ankles, asthe term talipes feet turn directly in-ward, or even inward, up-ward, and backward, andthe peculiar walk, bywhich interference of in-verted feet is avoided, hasgiven another name (reelfoot) to the deformity. In such cases knock-knee is usually wellmarked. This, although itmay be present at birth is,as has been stated, usuallya secondary distortioncaused in great part bythe accommodation to thedeformity; that is, by thediminution of the base ofsupport
A treatise on orthopedic surgery . deformity is so extreme that the patient actu-ally appears to walk on theoutside of his ankles, asthe term talipes feet turn directly in-ward, or even inward, up-ward, and backward, andthe peculiar walk, bywhich interference of in-verted feet is avoided, hasgiven another name (reelfoot) to the deformity. In such cases knock-knee is usually wellmarked. This, although itmay be present at birth is,as has been stated, usuallya secondary distortioncaused in great part bythe accommodation to thedeformity; that is, by thediminution of the base ofsupport and by the inter-ference of the feet (). The legs are shrunkenfrom disuse. Over theouter border of the foot,in the neighborhood of thecalcaneocuboid articula-tion, there is a large cal-lus with an underlying bursa. The foot itself is atrophied andis smaller than the normal. The changes in the bones aremuch more marked; only a small part of the articulating sur-face of the astragalus lies between the malleoli, and this pos-. Talipes equinovarus in adolescence, ap-parently of the acquired form, showing thedisplacement of the astragalus and its re-lation to the scaphoid, also the atrophyand distortion of the bones of the leg. DEFOBMITIES OF THE FOOT. 799 terior extremity is flattened out to the shape of a wedge. Thus,the leg bones appear to be displaced backward, a change mostapparent in the position of the external malleolus. The bonesof the foot are more or less atrophied, and the normal area Fig. 529. Fig. 530.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
