On the cure of club-foot without cutting tendons : and on certain new methods of treating other deformities . Talipes Calcaneus. This deformity is thatwhich has been wrongfully described as re-sulting from paralysis of the sural muscles; wehave just seen what distortion is in realityproduced by that condition. The mistakeoriginates in that deplorable—I had nearlysaid fatal—error of considering the foot as aninarticulate whole, which I have alreadycensured; for it is only by such a view thatparalysis of the calf muscles can for a momentbe supposed to produce lifting of the anteriortarsus, which
On the cure of club-foot without cutting tendons : and on certain new methods of treating other deformities . Talipes Calcaneus. This deformity is thatwhich has been wrongfully described as re-sulting from paralysis of the sural muscles; wehave just seen what distortion is in realityproduced by that condition. The mistakeoriginates in that deplorable—I had nearlysaid fatal—error of considering the foot as aninarticulate whole, which I have alreadycensured; for it is only by such a view thatparalysis of the calf muscles can for a momentbe supposed to produce lifting of the anteriortarsus, which is under the sway of its five * The beginner in this style of practice will do well to cut hispatterns in paper, until he finds what shape will be required toserve his purposes. TALIPES CAYUS AND TALIPES CALCANEUS. 167 special muscles thereto attached^ and it iswhen the physiology of the foot is truly under-stood impossible to imagine that loss of powerin a muscle attached to the extremity of theheel could possibly produce or pei^mit suchchanges in the anterior tarsus as are heredepicted.* FIG. The fact is, that the deformity arises fromparalysis of all the muscles at the back of theleg, gastrocnemius, peronei posterior tibial,the flexor longus digitorum and pollicis. * This deformity is ver}^ rare. I have seen but one case. Ihad opportunity neither of treating it nor obtaining a photographof the condition. I have therefore ventured to borrow the aboveillustration from Mr. Brodhursts work on club-foot. The morbidform is very well represented. 168 ON THE CURE OF CLUB-FOOT. In these cases again, if the paralysis be ofrecent date, I should at first simply treat theparalysis according to the method described inchapter vi. After a time, if it became neces-sary, a strip of tin broader than that used forpes cavus shonld be attached over the calf,and in addition to these, for the gastrocneminsstrings, for the peroneus longiis and posteriortibial can be readily affixed to it.
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