Manual of orthopedic surgery : atreatise on deformities and diseases of joints and bones / by Stewart LeRoy McCurdy.

  • McCurdy, Stewart L. (Stewart Le Roy), 1859-
Date:
1898
Catalogue details

Licence: Public Domain Mark

Credit: Manual of orthopedic surgery : atreatise on deformities and diseases of joints and bones / by Stewart LeRoy McCurdy. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    considered a factor by some authorities. Heredity plays an important part. The rate is increased from 1 in 2,000 in non-consanguineous to 1 in 165 in consanguineous marriages. Mr. Adams, of London, reports a chib foot family, and the writer has seen two families where this tendency was shown. ]\Iechanical pressure in utero, from deficient licjuor amnii, pressure of the cord, etc., are influences which no doubt assist in the production of club foot. Arrest of development, retarded rotation of the foot, and inter-uterine traumatisms must all be considered as factors. Symptoms of club foot are usually so prominent and well-known that repetition is hardly necessary. The physician who has a knowledge of the normal foot will have no difficulty in determining the existence of an abnormal condition. It must be remembered that in the congenital variety no pain, swelling, or in- flammation exists, except such as results from pressure and from the false position of the foot. Feet may be temporarily distorted by acute inflammatory diseases, as osteomyelitis, tuberculosis or synovitis, and in all of these conditions the history must be considered. The position of the foot in the simple varieties is as follows : (Fig. 1.) Equinus (a), heel elevated, foot extended and patient walks on ball of toes. Calcaneus (6), toes raised, foot flexed and walks on heel. Varus (c), inside of sole raised and turned inward, anterior portion adducted and walks on outside of foot.
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