XIV. CONDITIONS OF THE FOOT AND ANKLE
According to Selig,368 the basic pathologic process of common painful lesions of the foot is a compression of the soft parts, the skin and subcutaneous tissue, between underlying bony prominences and the leather of the shoe or another bony prominence. The result is thickening of the skin, formation of a bursa and eventually cartilaginous and later bony proliferation at the points of pressure. He feels that relief should be obtained by wearing of well fitting shoes or by surgical removal of the underlying protuberance.
—The conditions mentioned, namely, bursitis, calluses and corns, are not basic but are symptomatic. It is malposition of the structures of the foot that makes the foot vulnerable to the contact of the shoe. This malposition of the foot has to be traced to its cause. The treatment as outlined by Selig is symptomatic; that is,
HAUSER EDW, MONTGOMERY R. PROGRESS IN ORTHOPEDIC SURGERY FOR 1942A REVIEW PREPARED BY AN EDITORIAL BOARD OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS. Arch Surg. 1944;48(1):89-104. doi:10.1001/archsurg.1944.01230010092007