Club foot : its causes, pathology and treatment.

  • Adams, William, 1936-
Date:
1873
Catalogue details

Licence: Public Domain Mark

Credit: Club foot : its causes, pathology and treatment. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

    461/496 (page 430)
    Oct. 6.—Very little progress had been made for some weeks, and the structures in the sole of the foot (evidently the flexor tendons, as well as the plantar fascia) had become extremely FIG. 94. Congenital talipes varus in a gentleman Posterior aspect of the same foot aged 26; anterior aspect. tense. The tendon of the peroneus longus was also very tense and prominent, and pain was felt along this tendon ^hen the everting and uplifting force was increased. I therefore redivided the plantar fascia, and with it some of the flexor tendons, by a free and deep incision. I also divided the tendon of the peroneus longus, having previously determined by an examination of the dissected foot, represented in Figs. 34, 35 and 36, that this tendon, or rather the muscle to speak correctly, must be shorter than natural in a case of such severity. No inflamma- tion or inconvenience followed the operation in the sole of the foot. The apparatus was never discontinued, and veiy rapid improvement followed this operation. Nov. 14.—The inversion of the anterior part of the foot, and also the rotation of the cuboid and outer metatarsal bones—or, as it is called, the unfolding of the transverse arch of the foot —have been completely overcome. When the apparatus is removed there is no disposition to inversion. The first stage of the treatment is now finished, and com.plete equinus pro- duced. The cast from which Figs. 95 and 9G have been drawn, was taken at this date.