Lectures on orthopedic surgery and diseases of the joints : delivered at Bellevue Hospital Medical College, during the winter session of 1874-1875 / by Lewis A. Sayre.

  • Sayre, Lewis A. (Lewis Albert), 1820-1900
Date:
1879
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on orthopedic surgery and diseases of the joints : delivered at Bellevue Hospital Medical College, during the winter session of 1874-1875 / by Lewis A. Sayre. Source: Wellcome Collection.

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    CASE OF TALIPES VARUS. 50 The chain was shortened a few links, and in three lionrs she could stand upon her foot, touching the ground both with the heel and great-toe, as in Fig. 23. Electricity was applied in this case to the outer and anterior portions of the leg from ten to fifteen minutes every other day, and the child encouraged to run around as much as possible. The plasters and tin had to be readjusted occasionally ; but at the end of eight months she had so far recovered as to require only the slightest elastic, hooked into the eyelet of an ordinary shoe, and attached above to her garter. With this slight force she could elevate the toes and walk perfectly naturally, as seen in Fig. 2L. Again, talipes varus may be developed by blows or other in- juries to the muscles, by which their nervous supply is impaired, and loss of power caused. In this connection I present a case which is worthy of your especial attention. It is one of varo-equinus. The foot, as you see, is strongly inverted, the heel elevated and very much dimin- ished in size, and upon the outer side of the foot are large callosi- ties which have resulted from walking upon it in this abnormal position. Again you will notice that the little toe of the affected foot is very much larger than that upon the sound one. It has been irritated and tormented by the almost constant pressure made upon it, thereby keeping up an excessive amount of circulation, and gen- uine hypertrophy has resulted. (See Figs. 25 and 26.) Here, then, we have a practical illustration of the same law I shall so often lay down to you, that constant manipulation, friction, shampooing,