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"PAINFUL HEELS."
1704 and yet that no member of the Board possesses any medical qualification" ; and it expressed very strongly the view that the presence of a medical member would greatly improve the administration and would increase the confidence of the public. It can hardly be doubted that the Government will feel bound to give effect to this authoritative recommendation, and that the vacant position will be filled by one of the distinguished physicians who, we understand, have offered themselves as candidates for it.
practice,
OPHTHALMOLOGY AT OXFORD. THE sixth annual post-graduate course in ophthalmology in connexion with the Faculty of Medicine of the University of Oxford will be held at the Oxford Eye Hospital from July 5th to 17th. On July 15th and 16th there will be a meeting of ophthalmic surgeons, when addresses and demonstrations will be given. The main idea of the course is to demonstrate the whole range of ophthalmology, and the day’s work will be divided among lectures, demonstrations, and practical work. It is hoped that some 500 cases will be present for demonstration. Among those who are to give special addresses and demonstrations on the last two days of the course are, besides well-known British ophthalmic surgeons, Dr. Darier of Paris, Professor Deutschmann of Hamburg, Professor Dufour of Lausanne, Professor Greef of Berlin, Dr. Motais of Angers, and Dr. Remy of Dijon. Dr. F. W. Edridge-Green will give a demonstration of some new phenomena connected with colour vision, Mr. N. Bishop Harman will show his new diaphragm test for vision, Mr. A. W. Ormond will give a demonstration of the Mendelian theory in its application to ophthalmology, and Professor Arthur Thomson will give a stereoscopic demonstration of the structure of the eye. The course will be illustrated by the lantern. Fee for the course, L55s. will be provided with board course the Gentlemen attending and residence at Keble College at the rate of 7s. 6d. a day during the second week, but during the first week lodgings must be secured. Further particulars can be obtained from Mr. Robert W. Doyne, Margaret Ogilvie’s Reader in Ophthalmology in the University of Oxford, 30, Cavendish-square, London, W. Details of the newly constituted diploma in ophthalmology will be found at p. 1727.
sharp
spoon.
Some
pieces were decalcified and sections were tissue consisting chiefly of
They showed granulation spindle cells. From pieces of cut.
the bone
a
culture of the
The adjacent tissues obtained. gonococcus infiltrated in all directions by broad bands of bone. was
were
The due to the ossifying periostitis evidently process the os also be due to of calcis may gonococcus. Osteitis have been other organisms ; streptococci and staphylococci found. The patient usually complains at first of general pain in the foot, which soon becomes localised in the heel, while over the tuberosity the pain on pressure is exquisite, indeed it is often so great that the patient cannot put his feet to the ground. Radiography shows one or more spicules protruding from the os calcis, and periostitis of the surrounding bone or a much enlarged tubercle with surrounding periostitis. In the gonorrhceal variety treatment of the primary disease will help to cure the osteitis. In the gouty and rheumatic forms these diatheses must be treated. In the traumatic form associated with weak feet strapping may be applied and followed by the wearing of well-fitting plates, but operative treatment may be necessary. For this an incision is made in the middle line of the foot two inches or two and a half inches long, terminating about half an inch behind the tubercle of the os calcis. Retractors are inserted and the exostosis at the bottom of the wound is chiselled away and the bone is scraped with a sharp spoon until the surface becomes smooth and seems healthy. The wound is washed out with normal saline solution and closed without drainage with interrupted catgut sutures. After two weeks the feet may be put to the ground, and after three weeks the patient should be able to walk. an
was
King has granted to the undermentioned His Majesty’s licence to accept and wear the decorations which have Royal been conferred upon them by His Highness the Khedive of Egypt, in recognition of valuable services rendered by them :-To Mr. Henry Pottinger Keatinge, M.B.Durh., F.R.C.S. Eng., director of the School of Medicine and of the Hospital of Kasr-el-Aini, the Imperial Ottoman Order of the Medjidieh, Second Class ; and to Mr. Frank Cole Madden, 1T. D. 112e1b. , F. R. C. S. Eng., professor at the same School of Medicine, the Imperial Ottoman Order of the Medjidieh, Third Class. THE
___
"PAINFUL HEELS." IN a recent issue of the Nem Tork Medwal Journal Dr. I. D. Steinhardt has published a useful paper on a subject which has not received much attention-painful heels. Many patients come under professional care complaining of severe pain and tenderness in the heels on walking, and the nature of the malady is not understood and therefore is not properly treated. A frequent cause of painful heels is acute inflammation of the os calcis with formation of new bone, which is sometimes described as exostosis of the os calcis. Usually there is a history of gonorrhoea, gonorrhoeal rheumatism, gout or rheumatism, or traumatism in certain cases of weak feet. Males are more often affected than females. The gonorrhoeal form usually occurs between the ages of 18 and 45 years ; the gouty and rheumatic at and after the age of 40 years ; the form associated with weak feet may occur at any age. In a case of the gonorrhoeal form the following changes were found. On cutting into the soft parts of the heel, which in appearance and on palpation showed nothing abnormal, the tissues were found to be cedematous and the muscle discoloured. On the inferior surface of the os calcis the bone was abnormally prominent and rough in the region of the tuberosity. The bone was also very brittle and could easily be removed with a
to the 11 cases of Secretary of State for the Colonies stated that plague and 12 deaths were reported during the week ending with the month of May. A telegram from the Governor of Mauritius, received at the Colonial Oflice on June 4th, states that there were two cases of plague reported during the week ended June 3rd and two deaths from the disease. A TELEGRAM from the Governor of
MEDICAL
GOLFING
Hong-Kong
SociETY.—The
annual
tournament of the Medical Golfing Society will be held at the Burnham Beeches Golf Club on Thursday, June 24th. Play will be 18-holes, match play, v. bogey under handicap. There will be three prizes in each of two divisions -the senior competition being for those with a handicap of 12 and under, the junior for those whose handicap is over 12. The 11 Henry Morris"challenge cup and the Medical Golfing Society’s gold medal will be competed for. There will also be a foursome sweepstake in the afternoon. Any person on the Medical or Dental on payment of the annual subscription Registers can (4s.), which includes entrance to the tournament. Entries, accompanied by subscription and giving lowest handicap, should be sent to L. Eliot Creasy, 36, Weymouth-street, London, W., on or before Monday, June 21st. Conveyances will meet trains at Burnham Beeches station (G.W.R.). Cards may be handed in till 8.30 P.M.
jot
practice,
OPHTHALMOLOGY AT OXFORD. THE sixth annual post-graduate course in ophthalmology in connexion with the Faculty of Medicine of the University of Oxford will be held at the Oxford Eye Hospital from July 5th to 17th. On July 15th and 16th there will be a meeting of ophthalmic surgeons, when addresses and demonstrations will be given. The main idea of the course is to demonstrate the whole range of ophthalmology, and the day’s work will be divided among lectures, demonstrations, and practical work. It is hoped that some 500 cases will be present for demonstration. Among those who are to give special addresses and demonstrations on the last two days of the course are, besides well-known British ophthalmic surgeons, Dr. Darier of Paris, Professor Deutschmann of Hamburg, Professor Dufour of Lausanne, Professor Greef of Berlin, Dr. Motais of Angers, and Dr. Remy of Dijon. Dr. F. W. Edridge-Green will give a demonstration of some new phenomena connected with colour vision, Mr. N. Bishop Harman will show his new diaphragm test for vision, Mr. A. W. Ormond will give a demonstration of the Mendelian theory in its application to ophthalmology, and Professor Arthur Thomson will give a stereoscopic demonstration of the structure of the eye. The course will be illustrated by the lantern. Fee for the course, L55s. will be provided with board course the Gentlemen attending and residence at Keble College at the rate of 7s. 6d. a day during the second week, but during the first week lodgings must be secured. Further particulars can be obtained from Mr. Robert W. Doyne, Margaret Ogilvie’s Reader in Ophthalmology in the University of Oxford, 30, Cavendish-square, London, W. Details of the newly constituted diploma in ophthalmology will be found at p. 1727.
sharp
spoon.
Some
pieces were decalcified and sections were tissue consisting chiefly of
They showed granulation spindle cells. From pieces of cut.
the bone
a
culture of the
The adjacent tissues obtained. gonococcus infiltrated in all directions by broad bands of bone. was
were
The due to the ossifying periostitis evidently process the os also be due to of calcis may gonococcus. Osteitis have been other organisms ; streptococci and staphylococci found. The patient usually complains at first of general pain in the foot, which soon becomes localised in the heel, while over the tuberosity the pain on pressure is exquisite, indeed it is often so great that the patient cannot put his feet to the ground. Radiography shows one or more spicules protruding from the os calcis, and periostitis of the surrounding bone or a much enlarged tubercle with surrounding periostitis. In the gonorrhceal variety treatment of the primary disease will help to cure the osteitis. In the gouty and rheumatic forms these diatheses must be treated. In the traumatic form associated with weak feet strapping may be applied and followed by the wearing of well-fitting plates, but operative treatment may be necessary. For this an incision is made in the middle line of the foot two inches or two and a half inches long, terminating about half an inch behind the tubercle of the os calcis. Retractors are inserted and the exostosis at the bottom of the wound is chiselled away and the bone is scraped with a sharp spoon until the surface becomes smooth and seems healthy. The wound is washed out with normal saline solution and closed without drainage with interrupted catgut sutures. After two weeks the feet may be put to the ground, and after three weeks the patient should be able to walk. an
was
King has granted to the undermentioned His Majesty’s licence to accept and wear the decorations which have Royal been conferred upon them by His Highness the Khedive of Egypt, in recognition of valuable services rendered by them :-To Mr. Henry Pottinger Keatinge, M.B.Durh., F.R.C.S. Eng., director of the School of Medicine and of the Hospital of Kasr-el-Aini, the Imperial Ottoman Order of the Medjidieh, Second Class ; and to Mr. Frank Cole Madden, 1T. D. 112e1b. , F. R. C. S. Eng., professor at the same School of Medicine, the Imperial Ottoman Order of the Medjidieh, Third Class. THE
___
"PAINFUL HEELS." IN a recent issue of the Nem Tork Medwal Journal Dr. I. D. Steinhardt has published a useful paper on a subject which has not received much attention-painful heels. Many patients come under professional care complaining of severe pain and tenderness in the heels on walking, and the nature of the malady is not understood and therefore is not properly treated. A frequent cause of painful heels is acute inflammation of the os calcis with formation of new bone, which is sometimes described as exostosis of the os calcis. Usually there is a history of gonorrhoea, gonorrhoeal rheumatism, gout or rheumatism, or traumatism in certain cases of weak feet. Males are more often affected than females. The gonorrhoeal form usually occurs between the ages of 18 and 45 years ; the gouty and rheumatic at and after the age of 40 years ; the form associated with weak feet may occur at any age. In a case of the gonorrhoeal form the following changes were found. On cutting into the soft parts of the heel, which in appearance and on palpation showed nothing abnormal, the tissues were found to be cedematous and the muscle discoloured. On the inferior surface of the os calcis the bone was abnormally prominent and rough in the region of the tuberosity. The bone was also very brittle and could easily be removed with a
to the 11 cases of Secretary of State for the Colonies stated that plague and 12 deaths were reported during the week ending with the month of May. A telegram from the Governor of Mauritius, received at the Colonial Oflice on June 4th, states that there were two cases of plague reported during the week ended June 3rd and two deaths from the disease. A TELEGRAM from the Governor of
MEDICAL
GOLFING
Hong-Kong
SociETY.—The
annual
tournament of the Medical Golfing Society will be held at the Burnham Beeches Golf Club on Thursday, June 24th. Play will be 18-holes, match play, v. bogey under handicap. There will be three prizes in each of two divisions -the senior competition being for those with a handicap of 12 and under, the junior for those whose handicap is over 12. The 11 Henry Morris"challenge cup and the Medical Golfing Society’s gold medal will be competed for. There will also be a foursome sweepstake in the afternoon. Any person on the Medical or Dental on payment of the annual subscription Registers can (4s.), which includes entrance to the tournament. Entries, accompanied by subscription and giving lowest handicap, should be sent to L. Eliot Creasy, 36, Weymouth-street, London, W., on or before Monday, June 21st. Conveyances will meet trains at Burnham Beeches station (G.W.R.). Cards may be handed in till 8.30 P.M.
jot