A treatise on orthopedic surgery . nt 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 usuallyfo
A treatise on orthopedic surgery . nt 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 cases theankles may be weak and turn easily. In the more advancedcases of this type the foot may assume the position of valgus Fig. The hollow foot, showing contraction of the toes. when weight is borne, so that the more noticeable symptoms arethose of the weak foot or so-called flat-foot. Contracted foot, of the more severe grade, is almost alwaysaccompanied by a certain limitation of dorsal flexion; and as theshortening of the plantar fascia is often more marked at itsinner border, a slight inversion of the forefoot or vartis may bepresent also. When the exaggerated arch is combined with limitation ofdorsal flexion the deformity is tisually gTeater. This limitationmay be very slight, or it may l^e well-marked; and a slight degreeof permanent equinus even may be present, but so slight that itdoes not. as a rule, attract attention. This type of the contracted foot was first clearly described by DISABILITIES AND DEFORMITIES OF TEE FOOT. 751 Shaffer, in 1885, under the title of non-deforming club-foot,^and later by Fischer, of London, as talipes plantaris. The symptoms are similar
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
