Fractures, dislocations, deformities and diseases of the lower extremities / by Hugh Owen Thomas.

  • Thomas, Hugh Owen, 1834-1891.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Fractures, dislocations, deformities and diseases of the lower extremities / by Hugh Owen Thomas. Source: Wellcome Collection.

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

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    leather thinned off towards the toes, both to lighten and make it less noticeable. The reader will have noticed that in case D, the patient said she felt her foot easier in slippers than in boots, and easiest when barefoot. Patients frequently make this remark, the interpretation of which is the fact, that when bare- footed, the toes are not subject to circular compression ; and again when in slippers, compression is obviously- less than when the foot is booted ; hence a lesson, that our barred boot should be a capacious one for such cases as A, B, and D and for cases of type C, it is advisable to cut away the whole front of the 'upper, leaving only the bare sole, so as to free the big- toe joint from all possible compression. This mechanical device can be supplemented by soothing applications at night when the patient is at rest. This simple adjunct I have known to succeed^ after varied treatment had failed to give either ease of pain or early resolution without defect. Flat Foot—Splay Foot—Weak Ankles—Talipes Valgus.— The foregoing terms refer to four degrees of variation from normal symmetry. This defect varies in degree from slight inversion of the foot when in use, to eversion of the foot so that at every step it grinds on the inner aspect of the point of the lower end of fibula. The last is easily recognised, as, by the time this condition is observable, the peronei muscles and ex- tensors of the toes are, in most cases, permanentlv contracted. For convenience of description, we will include, in the term talipes valgus, these four deviations from the normal condition, of the foot. For prevention, restoration or relief of this defect more can be done by specially modelling the boot sole than by