File:Albany medical annals (1906) (14756264396).jpg

Identifier: albanymedicalann2719medi (find matches)
Title: Albany medical annals
Year: 1906 (1900s)
Authors: Medical Society of the County of Albany (N.Y.) Albany Medical College. Alumni Association
Subjects: Medicine
Publisher: Albany, N.Y. : Burdick & Taylor
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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tour of thefoot and changes in the relation of the bones. Lovett and Cottondefine pronated foot as That vicious attitude of the foot inwhich in habitual standing position it rolls over inward, theinner malleolus projects and abduction of the front part of thefoot occurs. (An exaggerated or faulty use of the PassiveAttitude.) The Astragulus is the keystone of the inner arch of the foot.In flat-foot it is dislocated forward, downward and inward. Thescaphoid is popped outward and the foot is abducted and everted.The middle cuneiform slips downward, the internal cuneiforminward and pressure on the plantar vessels and nerves causesoedema and pain. The structural changes which occur include: weak and dis-tended ligaments, denudation of cartilage from exposed articularsurfaces, formation of new articular facets, thickened periostem J. M. BERRY 255 and the formation of osteophytes; the internal structure ©f thebones becomes changed in the later stages and there may bemarked muscular atrophy.
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A. K Fig. i Fig. 2 Fig. i. Model of the foot made from spring brass. The model is made up of four piece*designated A. B. C. and D. A. represents the os calcis, B. represents the astragalus, C. represents the cuboid and 4th and 5th metatarsal bones. D. represents the navicular, cuneiforms and 1st, .2nd and 3rd metatarsal bones.Adduction and abduction of the foot take place at the articulations between the os calcis and cuboid and between the astragalus and navicular, the part of the foot in front of thesejoints moving as a whole. In the model the astragalus (B) is firmly fastened to the oscalcis (A). The articulations between the os calcis and cuboid and between the astragalusand navicular are made by means of the rivets E. and F. The front part of the foot is made to!move as a whole by fastening C. and D. togetherat H. The line L. M. represents the line of body weight in the normal foot. Note that itfalls over the 2nd metatarsal. Note the height of the inner longitudinal arch. Fig. 2.

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