Observations on forty-five cases of flat-foot : with particular reference to etiology and treatment / by Royal Whitman.

  • Royal Whitman
Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: Observations on forty-five cases of flat-foot : with particular reference to etiology and treatment / by Royal Whitman. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    interna] flange more firmly against the weak portion of the foot, and upward and outward beneath the sustentaculum-tali and the tuberosity of the scaphoid, at the moment when the tendency of the foot is to slide away from it. This pressure during the step has a tendency to throw the weight more on the outside of the foot, and to turn the toes in, resisting the exaggerated abduction. This tendency the patient should voluntarily assist, trying to re- duce the angle of divergence, thus relieving the in- side of the foot of a portion of the strain by bring- ing the line of weight back to its normal position. The outer third of the arm D should be perfectly fiat, so that this portion of the foot may lie easily against the sole of the shoe when weight is borne. the inner side of the heel and sole with a strip of leather. It should not, however, be carried beyond a point just behind the ball of the great toe, and may often with advantage be limited to the heel. It might be supposed that the pressure of the plate against the prominent scaphoid would cause pain, but this does not seem to be the case. The scaphoid does not rotate inwards, as does the astragalus, and, being held up by the plate, it does not greatly change its position. It is sometimes so prominent in the cast that a depression is found in the plate to accommodate it. The statement that a firm support under the arch is painful, because it will press on inflamed and sensitive
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