A treatise on orthopedic surgery . se the child seemed weakor awkward. These symptoms became less marked or practicallydisappeared; yet a trace remained, although not of sufficientimportance to call for treatment, until adolescence or adult life,when the greater strain and weight put upon the feet brought tolight the latent disability. The affection may undoubtedly de-velop in later years as the result of neuritis, or of gout or rheu- 748 DISABILITIES AND DEFOBMITIES OF THE FOOT. 749 matism. It may be catised by a sprain or fracture of the ankle,and it may be a result of habitual posture in co
A treatise on orthopedic surgery . se the child seemed weakor awkward. These symptoms became less marked or practicallydisappeared; yet a trace remained, although not of sufficientimportance to call for treatment, until adolescence or adult life,when the greater strain and weight put upon the feet brought tolight the latent disability. The affection may undoubtedly de-velop in later years as the result of neuritis, or of gout or rheu- 748 DISABILITIES AND DEFOBMITIES OF THE FOOT. 749 matism. It may be catised by a sprain or fracture of the ankle,and it may be a result of habitual posture in compensation fora limb shortened by injury or disease. The exaggerated arch which is a part of a more importantdeformity, as of equinovarus or calcaneus, or that which issimply one of many distortions caused by diseases of the nervousapparatus, does not belong to the class of disability under con-sideration. Symptoms.—The simple hollow foot often exists withoutsymptoms; in fact, it is usually considered as a particularly Fig. The contracted foot of slight degree. well-formed foot rather than a deformity. The common com-plaint in these cases is that one is unable to buy comfortableshoes because the ordinary shoe does not support the arch, orbecause the leather presses on the dorsum of the foot. Theconvexity of the dorsum, of course, corresponds to the depth ofthe arch; in many instances the cuneiform bones project sharplybeneath the skin, and painful pressure points or even inflamedbursse in this locality may cause discomfort. In the well-marked cases in which the weight is borne entirely 750 OSTEOPEDIC SUEGEEY. on the heel and the front of the foot, calluses and corns usuallyform at the centre of the heel and beneath the heads of themetatarsal bones. The patient may complain of neuralgic painabout the great toe, the metatarsal arch, or in the sole of the gait is often ungraceful, as the patient walks heavily uponthe heels ^vith the feet turned outward. In such ca
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