. The surgical treatment of the common deformities of children . Fig. 66 — Acquired spastic equinus club-foot (Adams . ties may arise from a number of different causes, Maf. be sp;,! ^ moilic, or and may be spasmodic or paralytic, or may be j;-1^1 ?due to combination of these conditions. Anequinus club-foot has these characteristics (see ); the heel is pulled up towards the calf, to avarying extent, and the foot is therefore rigidly ex-tended ; the tendon Achilles stands out prominently,and there is a notable increase in the arching ofthe foot, caused by a flexion at the transverse tarsa
. The surgical treatment of the common deformities of children . Fig. 66 — Acquired spastic equinus club-foot (Adams . ties may arise from a number of different causes, Maf. be sp;,! ^ moilic, or and may be spasmodic or paralytic, or may be j;-1^1 ?due to combination of these conditions. Anequinus club-foot has these characteristics (see ); the heel is pulled up towards the calf, to avarying extent, and the foot is therefore rigidly ex-tended ; the tendon Achilles stands out prominently,and there is a notable increase in the arching ofthe foot, caused by a flexion at the transverse tarsaljoint (Fig. 67). In long-standing cases this resultsin the shortening of the plantar ligaments andfascia, and of the muscles in the sole of the astragalus can usually be felt prominently infront of the ankle, there is no deviation either tothe varus, or the valgus side, and little, if any,true bony deformity. 172 CHILDRENS DEFORMITIES. The toes are usually drawn up like the claws of a. Fig. 67.—Acquired equinus, dissection of (Adams). cat, by contraction of the extensor tendons, butoccasionally, in markedly paralytic cases, they areflexed, , doubled down towards the sole, so thatthe weight is borne upon their dorsal surfaces. Inthe ordinary clawed condition, the pad in the soleof the foot, across the head of the metatarsalbones, is notably thickened. The muscles of thelimb generally are wasted, the calf muscle par-ticularly so; the condition of the rest will varywith the extent of the paralysis, if any be equinus may be principally spasmodic,or principally paralytic ; or again, purely secondaryto deformity elsewhere, as in cases of hip disease. ACQUIRED FORMS OF CLUB FOOT. 17:; These forms and (heir treatment will be most con-veniently discussed spasmodic equinus. It is very often found that adolescents of either ^^odicsex, for no apparent reason, are suffering from a ev3iaw-slight form of this affection, which, if neglected,
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Keywords: ., bookcentury1800, booksubjectabnormalitieshu, booksubjectchildren
