. Manual of operative surgery. Fig. 1325.—Exostosis os calcis. {Bradford.) cushioned heel. Make an incision along the inner side of the foot close to thesole and opposite the site of exostosis. By sharp and blunt dissection exposethe affected portion of os r^/, Fig. 1326.— Exostosis os calcis. {Bradford.) With a chisel remove the bony spur. Close the wound with or withoutdrainage. 1070 BUNION CHAPTER XCBUNION (HALLUX VALGUS). HAMMER TOE METATARSALGIA Hallux valgus consists in an inward* deviation of the great toe, the lastphalanx of which may lie transversely across the second toe. Th
. Manual of operative surgery. Fig. 1325.—Exostosis os calcis. {Bradford.) cushioned heel. Make an incision along the inner side of the foot close to thesole and opposite the site of exostosis. By sharp and blunt dissection exposethe affected portion of os r^/, Fig. 1326.— Exostosis os calcis. {Bradford.) With a chisel remove the bony spur. Close the wound with or withoutdrainage. 1070 BUNION CHAPTER XCBUNION (HALLUX VALGUS). HAMMER TOE METATARSALGIA Hallux valgus consists in an inward* deviation of the great toe, the lastphalanx of which may lie transversely across the second toe. The head of themetatarsal bone is pushed outwards, is usually enlarged, and part of its articu-lating surface is no longer apposed to that of the phalanx. Between the boneand skin there is a bursa formed which frequently becomes inflamed (bunion).Dwight has described a supernumerary bone which occasionally existsbetween the bases of the first and second metatarsals. To this bone he has giventhe name intermetatarseum. The intermetatarseum may be free or may befused with the first or the second metatarsal or with the internal cuneiformbone. J. K. Young believes that Dwights bone is the cause of some forms ofhallux valgus and if detected by the X-rays in an ea
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