Identifier: lecturesonortho00ridl (find matches)
Title: Lectures on orthopedic surgery
Year: 1899 (1890s)
Authors: Ridlon, John, 1852-1936 Thomas, Hugh Owen, 1834-1891 Jones, Robert, joint author
Subjects: Orthopedics
Publisher: Philadelphia, E. Stern & Co., Inc.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Fig. 236.—Bilateral congenital equinovarus. Deformity increased from walkingin the deformed position. are demonstrable when distorted feet are due to in-fantile cerebral and infantile spinal paralysis. The elec-trical reactions are not changed from the normal, and thevoluntary motion, the color and temperature of the skinand the muscles are quite different from what is foundin paralytic clubfoot. Further, paralytic clubfoot is the result of years of 295 malposition, no case becoming really deformed in soshort a period as nine months. In offering the aboveobjections to the paralytic theory we do not mean tosay that a case of paralytic clubfoot which has beenpresent from birth may not have antedated birth. We
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Fig. 2 j7.—Congenital equinovarus before treatment. believe that we have seen one such case: A girl of 9 years,the only child of educated and observing people. Thedeformity was described as a typical double equino-varus, and was present at birth. It had been treated 296 much of the time for the nine years by braces, manip-ulation and massage. No operation had been per-formed, and the parents had been warned against anoperation by the late Dr. Roth, of London, in whosecare the child was for some time. When we saw thecase, the appearance of the feet was much as one wouldexpect in a severe congenital case treated as this hadbeen. The varus had been almost wholly corrected,but the front of the foot was abnormally broad ; thefoot, however, could be inverted and the head of theastragalus made prominent. A marked degree ofequinus was present, indeed the feet could not be ex-tended (plantar flexed) beyond the point where theywere habitually held, and dorsal flexion could be de-monstrated on

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