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August 20, 1887

AN UNAVOIDABLE DEFORMITY AND DISABILITY WHICH FOLLOWS CERTAIN CASES OF OUTWARD DISLOCATION OF THE FOOT.Read in the Section on Surgery at the Thirty-Seventh Annual Meeting of the American Medical Association, June, 1887.

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JAMA. 1887;IX(8):237-238. doi:10.1001/jama.1887.02400070013001c

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The dislocation outward of the foot at the ankle-joint is, in certain cases, followed by deformity and disability defined as follows: Enlargement of the distal end of the tibia, increased prominence of the internal malleolus, increased malleolar space, turning of the foot outward, the axis of the foot presenting outside the axis of the leg, tenderness in and about the joint, pain when weight is borne on the foot, and inability to walk unaided.

The difficulty is often attributed to "weakness," to incomplete reduction of the luxation, to too early exercise, to neglect or ignorance on the part of the surgeon, to neglect or carelessness on the part of the patient. The blame is not always placed where it rightly belongs, and that this may be done hereafter is the object of this paper.

If the nature of the trouble is not comprehended the patient will lay the blame on

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