A treatise on orthopedic surgery . , combined with anchylosis of nearly all the joints.(.Compare with Fig. 524.) distortion capable of perfect cure, acquired talipes though easilycorrected can not be cured unless recovery from the originaldisease, of which it is a result, has taken place. Etiology of Congenital Talipes.—As of other congenital defor-mities, the etiology of talipes is conjectural. Occasionally theinfluence of inheritance is apparent, and, again, two or morechildren with club-foot may be born of the same mother; but,as a rule, nothing bearing upon the deformity appears in the 790
A treatise on orthopedic surgery . , combined with anchylosis of nearly all the joints.(.Compare with Fig. 524.) distortion capable of perfect cure, acquired talipes though easilycorrected can not be cured unless recovery from the originaldisease, of which it is a result, has taken place. Etiology of Congenital Talipes.—As of other congenital defor-mities, the etiology of talipes is conjectural. Occasionally theinfluence of inheritance is apparent, and, again, two or morechildren with club-foot may be born of the same mother; but,as a rule, nothing bearing upon the deformity appears in the 790 ORTHOPEDIC SUBGEEY. family or personal history. The most reasonable explanationas applied to the majority of cases is the mechanical. This is,in brief, the theory that the foot has from some cause remainedfor a longer or shorter time in a constrained or fixed position,and has thus grown into deformity. It has been claimed by Eschricht^ and also by Berg-^ thatabout the third month of intrauterine life the thighs of the Fig. The etiology of congenital club-hands, club-foot, and anchylosis of the attitude at birth. Photograph at age of three months. (See Fig. 523.) embryo are abducted, flexed, and rotated outward, the legs arecrossed, and the feet are plantar flexed and adducted, so that theinner surfaces of the thighs, the tibial borders of the legs, andthe plantar surfaces of the feet are held in close apposition tothe abdomen and to the pelvis of the foetus. Later there is aninward rotation of the limbs, the feet being turned graduallyoutward until the soles are brought into contact with the uterine Deutsche Klinik, , No. 44. ^ Berg, Archives of Medicine, Xew York, December 1, 1882. DEFORMITIES OF THE FOOT. 791 wall, the feet then being in the attitude of abduction and dorsalflexion. According to this theory, there is a regular successionof attitudes during intrauterine life. If the inward rotation ofthe lower extremity is prevented or if it is incomple
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Keywords: ., bookauthorwhitmanr, bookcentury1900, bookdecade1910, bookyear1910
