CROOKED FEET. Talipes
There are many varieties. The treatment should be
begun, under the instructions of a physician, and continued from infancy
and many a good foot can be obtained.
KNOCK KNEE. (Genu Valgum). This is due to an overgrowth of the internal
knuckle (condyle) on the knee joint, and curving inward of the shaft of
the thigh-bone (femur) in its lower parts, with relaxation and lengthening
igaments of the knee joint.
It usually shows itself soon after the child begins to walk, but may not
do so until puberty,--rarely later. It is due in the child to rickets; in
the latter form, it is caused by an occupation that requires continued
standing, by a person of feeble development of the muscles and ligaments.
"Flat-foot" is often associated with it and, at times, may be the real
cause. It may affect one or both knees, may be so slight as to escape
detection, except upon a very careful examination, or so severe as to
separate the feet very widely and render walking difficult and wobbling.
In children other symptoms of rickets can generally be found. If not
severe it may often get better spontaneously as the rickets condition
improves and the general strength increases. This result is common in the
cases occurring later, from standing if the general condition improves.
Treatment. Should be begun early and both general and local treatment
should be given. The quicker the treatment is begun, the quicker will be
the recovery and the deformity will be less. The ordinary medical and
hygienic treatment should be given for rickets.
Local Treatment. This is mechanical, supplemented by baths, rubbing,
friction, electricity and preceded, if necessary, by attending to the
bones. If the rickets is still active, and the bones are soft and
yielding, standing and walking should be forbidden, the limb should be
straightened by manipulation and the correct position secured and
maintained by an outside splint and bandage. Sometimes operative measures