Orthopaedic surgery; a text-book of the pathology and treatment of deformities

9781231108505: Orthopaedic surgery; a text-book of the pathology and treatment of deformities
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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1899 Excerpt: ...foot has a peculiar broadened and flattened appearance in its anterior portion. The transverse arch is due to the form of the cuboid and three cuneiform bones behind and of the metatarsals in front. Causes.--The deformity occurs in both sexes and at any age. Young women in my experience are the more commonly affected. In many cases the patient is subject to attacks of osteo-arthritis. Symptoms.--Corns are frequently present over one or more of the heads of the 2nd, 3rd, and 4th metatarsal bones, evidence of their having become depressed towards the sole of the foot. On making an impression of the sole of the foot it is found that the usual appearance is changed; there is a bulging instead of there being a receding angle behind the part of the ball of the toes that corresponds to the heads of the second and third metatarsal bones. The symptom that usually causes the patient to seek medical advice is severe pain of a neuralgic character, starting near the heads of the metatarsal bones and radiating upwards. To this symptom the term metatarsalgia has been applied and the affection is usually discussed under that heading. But it is right to observe that transverse flat-foot can exist independently of metatarsalgia, which is only a common symptom of the deformity. The sinking of the transverse arch that occasions metatarsalgia is often partial in character, being limited to the downward displacement of the heads of one or two metatarsal bones, most commonly the 4th. Openshaw, Clinical Journal, Dec. 12, 1894. Metatarsalgia.--This symptom is of so characteristic a nature that it merits separate consideration. The affection was first described by Morton of Philadelphia in 1876, and the term " metatarsalgia " was first applied to it by Pollosson of Lyons i...

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