A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . ,the proximal phalarLx of the great toe is thrust out-ward and is subluxated on its metatarsal bone—hallux valgus. Over the enlarged metatarsopha-langeal joint a bursa forms, which by pressure be-comes painful, and frequently becomes infected. Pal-liative treatment of the milder forms consists in reUefof pressure, and in proper shoes. The frequentlj- ac-companying (and causal) flat-foot requires the severer grades excision of the head of themetatarsal


A reference handbook of the medical sciences, embracing the entire range of scientific and practical medicine and allied science . ,the proximal phalarLx of the great toe is thrust out-ward and is subluxated on its metatarsal bone—hallux valgus. Over the enlarged metatarsopha-langeal joint a bursa forms, which by pressure be-comes painful, and frequently becomes infected. Pal-liative treatment of the milder forms consists in reUefof pressure, and in proper shoes. The frequentlj- ac-companying (and causal) flat-foot requires the severer grades excision of the head of themetatarsal, or of part of it. will usualh be secondarily infected, the bursa must first be openedand drained. Thereafter shoes built on proper linesmust be worn, and perhaps a flat-foot brace inaddition. Some operators transplant the extensortendon of the great toe. A bursa often develops under a corn, and its sec-ondarj infection may give rise to great pain and evento constitutional disturbance. It is these bursce whichoften make a corn extremely sensitive. Relief ofpressure by proper shoes, or, when the corn is on the. 11S2.—Prepatellar Bursitis (Housemaids Knee sole of the foot, by a sole plate, will usually cure theuninfected cases. Secondary infection demands in-cision and drainage. Retrocalcancal Bursitis.—Injury of tliis bursa isoften followed by sensitiveness over theback of the heel between the tendo Achillis and thecalcaneus. Fluctuation maj- be distinguished atthe sides of the tendon. Treatment is usually by a REFERENCE HAXDHOOK OF THE MFDICAL SCIENCES Butyric Add Ions strip of adhesive strapping from the upper oarti)f the liack of tlie calf, under the heel to the ball oftlie foot, put on while tlie foot is plantar-llcxei.!, andreinforced by criss-cross strapping over the inflammation of this bursa often accompaniesflat-foot and yields to the treatment of the causalafToction. Areas of calcification are said to exist inthe chronic forms


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Keywords: ., bookauthorbuckalbe, bookcentury1900, bookdecade1910, bookyear1913