No abstract

ures arc of little avail, with which opinion the writer concurs, but he must disagree that all patients should have. %" of the peroneal tendons removed, because many cases are treated without-open operation with good results.The following is a brief outline of some of the cases treated by the writer, following principles laid down above.J. F. Age 42, left foot pronated, considerable exostosis, infectious arthritis. Foot is stiff, attempts at manipulation resisted. Both peroneals very prominent and tight. Ether manipulation, plaster of paris cast three weeks. Whitman plates. Condition improved.C. G. Age 9. Left foot, No etiology obtainable. Attempts to bring foot in good position are resisted.by the patient on account of pain. Peroneal tendons stand out prominently by attempts to bring the foot in supination. Foot strapped three times at intervals of a week. Whitman plates and Thomas heels. Result excellent, H. M. Age 18. Patient stands with foot pronated, has definite enlargement in region of scaphoid. Attempts at reposition give pain in this region; likewise the peroneals stand out prominently. X-rays showed old fracture of scaphoid. Open operation done in. this region for correction of deformity ;. foot brought in good position, held in plaster. Result good. J. F. Age 20. Both feet. Etiology G. C. infection. Arthritis twro years duration. Xrays show tarsal region involved. Foot.more or less stiff, all attempts at lateral motion resisted. Recommended a resection of the peroneals. Foot manipulated in good position. Plaster of paris cast three weeks. Whitman plates. Result excellent, as to position. H. B. Age 12; Right ankle, five months duration. Unknown etiology. Patient stands with right foot in marked pronation, attempts at inversion resisted, patient cries out with pain. Peroneals very prominent. Patient given ether manipulation, plaster of paris cast. Whitman plates. Result good. A. H. Age 24. Examination shows enlargement in front of internal malleolus, in region of astragalus. X-rays show large exostosis at upper end of astragalus, all attempts at correction are resisted. Condition suggests secondary contraction of peroneals on account of the overgrowth. Overgrowth removed, peroneals lengthened. Plaster of paris cast five weeks. Whitman plates. Result excellent. 510 Commonwealth Ave.

The genesis of some phobias is still more fully considered in the International Clinics of 1919, Vol. 3, while the kind of obsession which leads to occupational dyskinesia, primarily "writing cramp," was vary fully studied in 1912, Jour, f. Neurologe u. Psychiatrie of Leipsic, and in two short communications to the Neurological Society of Paris, published in La Nouvelle Iconographie de la Salpetrière, 1914.