On hallux flexus, claw toe, and pes cavus / by N. Davies-Colley.

  • Davies-Colley, John Neville Colley.
Date:
[1895?]
Catalogue details

Licence: Public Domain Mark

Credit: On hallux flexus, claw toe, and pes cavus / by N. Davies-Colley. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    that the pes cavus was probably secondary to a congenital talipes calcaneus. As progression was very difficult on account of the pain produced by corns beneath the metatarso-phalangeal joint, I decided to operate, and on January 11th, 1895, an incision was made under an autesthetic upon the extensor proprius hallucis of .each side, three-quarters of an inch of the tendon was removed, and the proximal end stitched down to the metatarsal bone in the way I have described (page 11). Ihe innermost tendon of the extensor brevis digitorum was also divided. Primary union followed the operation. On March 7th he walks comfortably, and with his toes flat on the ground. He cannot hyper-extend his great toes. The extensor proprius hallucis of each side can be felt to act when he flexes the ankle. Case 9. Clawed toes, with slight talipes ecguino-varus j operation; improvement (reported by Mr. M. H. Way). William C—, ast. 22, a gardener, was admitted with painful corns of the right foot, into Guy’s Hospital on March 11th, 1895. He gives a history of a strain to the right foot when he was fifteen, but he considers that the painful condition of his foot began two years ago. He has slight talipes equino-varus, so that he is unable to flex his foot to less than a right angle with the leg, and he walks upon the outer border of his sole. The arch of the foot is not abnormally high. He has much incurvation of all his toes, with painful corns upon the front of his sole and over the first phalangeal joints of the toes. No paralysis was discovered. The left foot was said in the report to be in a similar but less marked condition, and he had no painful corns. I did not notice any deformity in the left foot, which I found to be three-quarters of an inch longer than the right. The circumference of the left calf ivas half an inch greater than that of the right. r On March loth ether was administered, and an incision laving been made upon the extensor proprius hallucis e° on’ nearly an inch of it was removed, and the proximal on was attached beneath two flaps of periosteum upon the dorsal aspect of the base of the first metatarsal bone. Pieces