Medical and surgical therapy . ORS OF THE SMALL TOES, following shrapnel wound of the dorsum of the foot and leg complicated by fractureof the tibia (September 1915). The wound of the leg took five monthsto cicatrise, and the patient wore a walking apparatus for threemonths. In April 1916 the loss of power is not complete, the movementsof the great toe are preserved, the dorsi-fiexion of the foot is chieflycarried out by the anterior tibial muscle, and is accompanied by amovement of adduction of the foot, which assumes a varus attitude;during this movement the outer toes remain flexed. Markeda
Medical and surgical therapy . ORS OF THE SMALL TOES, following shrapnel wound of the dorsum of the foot and leg complicated by fractureof the tibia (September 1915). The wound of the leg took five monthsto cicatrise, and the patient wore a walking apparatus for threemonths. In April 1916 the loss of power is not complete, the movementsof the great toe are preserved, the dorsi-fiexion of the foot is chieflycarried out by the anterior tibial muscle, and is accompanied by amovement of adduction of the foot, which assumes a varus attitude;during this movement the outer toes remain flexed. Markedatrophy (five centimetres in the leg and seven centimetres in thethigh); hypothermia; mechanical hyperexcitability of the musclesof the foot, leg and quadriceps; crowding of the toes resemblingthe arrangement of the fingers so frequently seen in accoucheurshand. In June 1916 dorsi-flexion of the foot is carried out better, andthe outer toes can be extended. The patient has been treated bydiathermia and movements. 578 PLATE VIII.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
