Text Appearing Before Image: The forcible overcorrection of flat-foot. The proper position in the plas-ter bandage. 742 OETHOPEDIC SUBGEEY. ducted and inverted) (Fig. 493) over the fulcrum formed bythe projecting palm, which lies upon the right knee, the fingersholding the heel steadily in place. This inward twisting isat first resisted by voluntary and involuntary muscular spasm, Fig. 493. Text Appearing After Image: Twisting the foot. which gradually gives way under steady pressure. When thelimit of adduction has been reached, the foot is held firmlyuntil all pain has subsided; then the patient is instructed toattempt voluntary movements while the foot is guided by thehands; in other words, the patient attempts to adduct thefoot while the surgeon supplies the power, which in all cases DISABILITIES AND DEFOBMITIES OF THE FOOT. 743 of this type has been completely lost. This passive manip-ulation to the extreme limit of normal adduction, plantar anddorsal flexion, is continued from day to day until there is nolonger a sensation of pain or tension. For as long as there isthe slightest spasm or painful restriction of passive motion, thevoluntary assumption of proper attitudes is checked, and untilthis power is regained there is danger of relapse. During active Fig. 494. H^^l 19 ^M^HH 1 ^^^^^H^^^^RH^^ IV KID^I ;H^^HKfeb^^^v^ ■ii hHHHHI Method of applying the plaster strapping to hold the foot in the
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