A Study of the weak footAppleton, 1895 - 42 pages |
Common terms and phrases
adduction applied arch assumed astragalus body bones brace bunions calcis calf muscles cause symptoms chronic sprain cure deformity of flat-foot disability displaced disuse duration elements of weakness eversion everted exaggerated feet flexed foot is subjected foot is weak foot of childhood fore foot formity free and painless function gout heel hold the foot imprint improper attitudes injury inner side instances lever leverage ligaments line of strain long standing malleolus mechanism mediotarsal joint muscular activity muscular spasm necessary ness normal foot normal motion October 11 outer side outline overcorrection passive attitude passive motion patella patient plantar plantar fascia plantar flexion plaster bandage posi position of valgus posture proper position proper shoe range of motion regained relief rheumatism rheumatoid arthritis scaphoid shape slight so-called flat-foot sole source of weakness tenderness and muscular tion toes treatment usually vaseline voluntary motion weak and flat weak ankle weak foot weakness and deformity
Popular passages
Page 33 - The attempt is always made to bring the extreme outer border of the inverted foot up to a right angle with the leg, which is the limit of normal flexion in this attitude.
Page 18 - ... is flexed about its head. With the leg extended and the patella pointing forward, the foot is turned in as far as possible; the elevation of its inner border, or supination, and the turning in of the heel are well illustrated in the photograph (Fig. 10) ; the actual adduction is somewhat difficult to measure, but it is about thirty degrees. Even the mild and early cases of weak foot usually show some limitation of this most important motion, and in many instances it is completely lost, the patient...
Page 14 - The local tenderness and muscular spasm are increased by use, so that the patient may have difficulty in removing the shoes at night, and the symptoms relieved by the rest of Sunday become progressively worse during the week; the pain and discomfort are more general in character, and are often referred to the dorsum of the foot, representing muscular rigidity and tension, and to the outer side of the ankle, where the external malleolus is grinding out a facet in the projecting os calcis. The patient...
Page 15 - The patient may now complain of discomfort in the feet and cramps in the legs, even when iu bed, and the appearance of weakness, awkwardness, and depression of spirits may be so noticeable that the case is sometimes mistaken for one of incurable nervous disease. One can hardly exaggerate the pitiable condition to which the sufferer from painful flat-foot may be reduced. There is something peculiarly exasperating and depressing in an affection which prevents a person otherwise in perfect health from...
Page 42 - ... effective treatment unless it has this end in view. The term " weak foot " has at least this advantage, — that it implies nothing that the student must unlearn, for, if functional weakness is recognized, its causes may be analyzed and appreciated ; it is because of the misapplication and misapprehension of the term
Page 38 - ... performed and followed by prolonged overcorrection of the deformity. The origin of the muscular inequality may very probably be in some instances an unnoticed and rapidly cured anterior poliomyelitis, which is still sufficient in its effects to unbalance the foot, and in others it is the result of the long duration of the deformity, but, whatever may be the theory of its causation, it is again emphasized that obstruction to motion in every direction must be overcome before a complete cure is...
Page 32 - ... debilitating pain. The patient is etherized and, the muscular spasm being completely relaxed, one may estimate the amount of restriction of the range of motion. Of this, muscular spasm makes about half; the aim now is to remove this residual obstruction to motion in every direction, and finally to place the foot in the attitude most opposed to that which has been habitual. This is the object of forcible overcorrection as the first step in the systematic repair of the disabled mechanism ; its...
Page 33 - ... after-treatment. When the passive range of motion has been regained the foot is turned downward, then inward and upward into the position of extreme equino-varus, an exaggeration of the attitude of adduction, as shown in Fig. 10. By this manipulation the os calcis is drawn under the astragalus and thrown into an everted position, and the scaphoid is flexed about and under the head of the astragalus, which is then lifted to the limit of normal flexion (Figs.
Page 35 - Three motions — abduction, flexion, and extension — are usually free and painless; but the fourth, that of adduction, is almost invariably resisted by the same quality of muscular rigidity that was present before the operation. By far the most effective method of overcoming this resistance is conducted as follows: The patient is seated in a chair, a.nd the surgeon stands in front of him. Let us suppose that the left foot is to be adducted — or, as the patients express it, twisted. The surgeon...
Page 40 - ... Where the acute symptoms returned, even after a considerable interval, it was an indication that the apparatus had been removed prematurely, and not that the case had relapsed. Dows' splint, although an excellent instrument, was too expensive for dispensary practice, and accordingly it was the custom in the out-patient department of the Hospital for the Ruptured and Crippled, to convert the ordinary long extension splint into a