The Cleveland medical journal (1910) (14770106721)

Identifier: clevelandmedical09clev (find matches)
Title: The Cleveland medical journal
Year: 1910 (1910s)
Authors:
Subjects: Medicine Medicine
Publisher: Cleveland : The Cleveland Medical Journal Company
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities



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the inner border of the heel and was found to be somewhat largerthan the radiograph had indicated. The head of the first right metatarsalwas also resected. Patient made a good recovery, began to walk withcrutches on the ninth day and returned to work at end of three weeks.The pain in his heels is entirely relieved. Case II. Male, age 32, referred to me Nov. 16, 1909 by Dr Shireyon account of pain in feet. Family history negative. Patient has neverhad gonorrhea or syphilis. Present trouble began 14 years ago withslight pain in bottom of heels which gradually became worse. For severalyears he has been practically a cripple. At different times he has hadto quit work for intervals of weeks or months. The pain is very sharpand feels as though the bone were sticking into the flesh. A tight shoeis more comfortable than a loose one. Patient often goes about hishouse on his hands and knees. He is thin, nervous and sleepless onaccount of his pain. Examination of the feet reveals no flatfoot. He
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Fig. 1. Large spur upon inferior surface (a) and another (b) at junctionof posterior and superior surfaces of the left os calcis. has hallux valgus and tender bunion on the right side. There is greattenderness on pressure in the center of the right heel and some aboutthe edge of the os calcis. The bone has the feeling of being thickenedbut no spur can be felt. The whole left heel is very much thickened,extending up on each side of the tendo Achillis where there is muchtenderness. There is limitation of ankle-motion due to the interferenceof the upper spur. The bottom of the left heel is also very tender. Adiagnosis of spurs was made and this was confirmed by radiographs.The latter revealed very large spurs upon the inferior surface of eachos calcis and one large one at the junction of the posterior and superiorsurfaces of the left os calcis. (Fig. 1.) An operation was performed at Lakeside Hospital, Dec. 27, 1909,under ether anesthesia. On the left foot a circular incision was madeabo