On the nature and treatment of talipes equino-varus or club-foot / by Bernard E. Brodhurst.

  • Brodhurst, Bernard E. (Bernard Edward), 1822-1900.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: On the nature and treatment of talipes equino-varus or club-foot / by Bernard E. Brodhurst. Source: Wellcome Collection.

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    of development or obstructed development whilst growth elsewhere proceeds in a normal manner becomes at birth deformity. Up to the fourth or the fifth month or even later the embryo presents a club-footed appearance. If at this period from whatever cause evolution should be impeded, so that, for instance, the adductors of the foot cease to be developed whilst growth else- where proceeds in a normal manner, the feet remain unfolded—clubbed, as in the embryo. Thus, direct pressure in utero may give rise to talipes calcaneus, and impeded evolution will cause talipes varus and valgus. This theory of “ obstruc- tion in the normal development of the feet, during some period of intra-uterine life,” has been admir- ably stated by Dr. H. W. Berg.* Also, the same opinion has been further elaborated by Mr. R. W. Parker and Mr S. G. Shattock.f Again, bands of lymph, perhaps binding the limbs and prevent- ing movements, movements which are essential to the development of the foetus are not un- common. It is thought by some that intra-uterine pres- sure may produce congenital deformities. It should be remembered, however, that at an early period of gestation the embryo floats in the liquor amnii, and that as utero-gestation advances, and * Seguin’s ‘ Archives of Medicine,’ 1882. t ‘Path. Trans.,’ 1884.
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