A treatise on orthopedic surgery . ds a cureis out of the question. Atleast once a day the full rangeof motion must be carried outto the normal limit. Threemotions—abduction, flexion,and extension—are usuallyfree and painless; but thefourth, that of adduction, isalmost invariably resisted bythe same quality of muscularrigidity that was present be-fore the operation. Perhaj)s the only effective method of over-coming this resistance is conducted as follows: The patientbeing seated in a chair, the surgeon sits or stands before us suppose that the right foot is to be adducted, or, as thepa
A treatise on orthopedic surgery . ds a cureis out of the question. Atleast once a day the full rangeof motion must be carried outto the normal limit. Threemotions—abduction, flexion,and extension—are usuallyfree and painless; but thefourth, that of adduction, isalmost invariably resisted bythe same quality of muscularrigidity that was present be-fore the operation. Perhaj)s the only effective method of over-coming this resistance is conducted as follows: The patientbeing seated in a chair, the surgeon sits or stands before us suppose that the right foot is to be adducted, or, as thepatients express it, twisted. The surgeon places the foot be-tween his knees; his right hand encircles the heel, the fingersgrasping the projecting os calcis and tendo Achillis; the baseof the palm lies against the mediotarsal joint on the inner andinferior aspect of the foot; the left hand grasps the outer sideof the forefoot and toes; then, by steady pressure of the highmuscles, the forefoot is forced downw^ard and inward (ad-. The forcible overcorrection of flat-foot. The proper position in the plas-ter bandage. 742 OETHOPEDIC SUBGEEY. ducted and inverted) (Fig. 493) over the fulcrum formed bythe projecting palm, which lies upon the right knee, the fingersholding the heel steadily in place. This inward twisting isat first resisted by voluntary and involuntary muscular spasm, Fig. 493.
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
