File:Practical podiatry - (1918) (14778699555).jpg

Identifier: practicalpodiatr00jose (find matches)
Title: Practical podiatry :
Year: 1918 (1910s)
Authors: Joseph, Alfred
Subjects: Podiatry Podiatry Podiatry X-rays
Publisher: New York : First Institute of Podiatry
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

View Book Page: Book Viewer
About This Book: Catalog Entry
View All Images: All Images From Book
Click here to view book online to see this illustration in context in a browseable online version of this book.

Text Appearing Before Image:
s to remain for a dayor so only, glazed felt will admirably answer all purposes.It is cut similar in sizeand design to the buck-skin or chamois shield,but is most generallyapplied without strap-ping. The Dorso-DigitalOval Shield. One morepractical method o fshielding an heloma onthe dorsum of any ofthe intermediate toesmay be described. Inmany instances, whetherdistinct hammer toe bepresent or not, the firstinterphalangeal articu-lation will be found de-cidedly prominent, andenlarged to such an ex-tent as to make the ap-plication of an individ-ual shield impractical.A large oval shield of ^i^- ^• buckskin or eighth-inch dokso-digital oval shield appliedfelt (Fig. 4) should then *o third toe be used. The aperture is fashioned to fit the part to be pro-tected and the long axis of the shield is allowed to restacross and upon the adjacent toes. A shield of this natureis seldom if ever strapped, and is removable by the patientwhile at rest or during the bath, to be replaced when the shoe
Text Appearing After Image:
116 PODIATRY ♦ is worn. The writer lias observed many cases where theproximal phalanges of the intermediate toes were in a stateof constant extension due to the contraction of the extensortendons, and leaving a decided hollow in the dorsum of thefoot directly over their metatarsophalangeal joints. In acondition of this nature a thick shield of this pattern is par-ticularly practical and may be used not alone to protect atender part, but also to fill up this hollow and allow theshoe to fit more firmly. Where helomata are present on the dorsum of all ofthe phalangeal joints, this variety of shield is, of course,contra-indicated, as undue pressure would be brought tobear upon the already troublesome excrescences and a greatamount of trouble would in this way be invited. In someinstances a full oval shield is not used, but a dorso-digitalhalf-moon, as shown in Fig. 1-Gr, is substituted. No definiteruling can be made as to which form of shield should beused, as each case presents a diffe

Note About Images