Image from page 666 of “A treatise on orthopedic surgery” (1903)

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Image from page 666 of “A treatise on orthopedic surgery” (1903)
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Identifier: treatiseonorth00whit
Title: A treatise on orthopedic surgery
Year: 1903 (1900s)
Authors: Whitman, Royal, 1857-
Subjects:
Publisher: Philadelphia and New York, Lea brothers & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Text Appearing Before Image:
borne, yet the foot,controlled by efficient muscles,may be apparently normal infunctional ability, while in othercases in which the ligamentsare normal ami yet are subjectedby insufficient muscular protec-tioD to overstrain, disabilityand pain may precede notice-able deformity. It is evident that the lower-ing of the arch is of secondaryimportance in the deformity,andthat the popular significance«»f painful fiat-foot, as an in-herited and irremediable weak-ii- ss, is most mish ading. Yetems to have governed thetreatment of tie- disability untilvery recently. On the onehand, the early cases were over-Looked because the foot was not flat, while those in which thedeformity was more advanced were simply neglected or weretreated by simple supports beneath the an-h or by operation, without regard to the LOSS of function, and, therefore, without dope of ultimate cure. – has been stated, there is one feature common to everygrade of the so-called Hat-foot : the fool regarded a- a machine i-

Text Appearing After Image:
Weak feet, arch not depressed. (;,;S ORTHOPEDIC SURGER Y. weak as compared to the normal standard—weak because of thepersistence of the attitude of rest and relaxation, as contrastedwith that of activity and strength, and weak because the properrelation between the power and the fulcrum is changed. Eventhe inherited flat-foot or the flat-foot which has never causedsymptoms is weak in the sense that, in use, it lacks the springand elasticity characteristic of the perfect machine. The termweak foot may be used, then, to indicate all types of the disa-bility. In one weak foot the arch has disappeared (Fig. 398) : inanother weak foot the arch is of normal depth, but the foot isabducted or pronated in its relation to the leg (Fig. 397). Inone case the deformity appears only under weight; in anotherthe foot is held rigidly in the deformed position by muscularspasm. In one instance there may be great deformity withoutpain; and in another disabling weakness and pain withoutnoticeable deform

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Low fat chocolate milk and salad. Snack 12.7.12
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