This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1889 Excerpt: ...shape by passive manipulation, without any force exerted by the surgeon, or by making the patient stand with the heels raised; (2) cases where the tarsal bones have become more or less fixed in their displaced positions by shortened ligaments and tendons, osseous deformity of the articulating surfaces, and fibrous or ...
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1889 Excerpt: ...shape by passive manipulation, without any force exerted by the surgeon, or by making the patient stand with the heels raised; (2) cases where the tarsal bones have become more or less fixed in their displaced positions by shortened ligaments and tendons, osseous deformity of the articulating surfaces, and fibrous or osseous anchylosis, which require forcible manipulation under anaesthetics to restore more or less of a normal arch; (3) intermediate cases, in which a partial restoration of the tarsal arch is possible without brisement force. A few words must be devoted to the causation of flat-foot, to enable us to obtain a correct view of the proper treatment. Mr. Le Gros Clark says, "In reviewing the action of the various muscles around the foot, it is obvious that their attachment is designed to preserve the plantar arch, and that such healthy condition must depend in great measure on the evenly balanced action of those muscles upon their several attachments. Thus the peronei and tibial muscles antagonize each other, and the expanded insertion of two of them into the tarsal bones is very instrumental in preserving the transverse as well as the antero-posterior arch." I find that all infants on commencing to walk are normally flat-footed, without any tarsal arch, whereas after they have stood and run about a few months, and the leg-muscles have become developed, a perfect arch is formed. I have several times been consulted by an anxious mother about her baby's feet when the child begins to run alone, the normal absence of a tarsal arch being at first exaggerated by a pad of fat opposite the plantar aspect of the tarsus. I have always been able to reassure her, and to tell her that the feet would become arched in time and the adipose instep pad di...
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