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tests must be severe and should consist in, hopping as high as possible, backward and forward, on one foot at a time, landing on the toes; raising the body on the toes of one foot at a time; jumping from a chair, landing on the toes, each foot separately; walking on the heels; raising the body from a squatting position. A good many men who have some obliteration of the long arch of the foot and are said to be "flat footed" can pass these tests. These cases should be classed as acceptable if they also have

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FIG. 1-a. Posterior view of everted foot.

I think that applicants who are in every other way desirable should be put on probation and placed under treatment in a "training squad" where they should be given selected gymnastics and other necessary

treatment.

The Disqualifying Foot: This may be a misnomer in one respect because we can never be sure that after certain operative procedures the foot can not be made useful. However, what may be a useful foot for a civilian may be absolutely impossible as far

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FIG. 2. Claw toes; full weight of body fails to bring them to the floor.

terior arches and callosities under the dis-
tal ends of the metatarsals; the flaccid foot,
with lax ligaments permitting the flattening
and spreading of the bones; excessive hal-
lux valgus (Fig. 3) often accompanied
by obliteration of the long arch; excessively
"high arches" (Fig. 4) and results of
talipes; painful "spurs" and other exos-
toses; excessively ingrown nails and lapping
toes; large and painful callosities and
numerous corns (Fig. 5); sweating and
odoriferous feet. Altho these are disquali-

make an excellent officer and such material is far too scarce.

I wish now to consider the means by which a great number of these cases can be made available for military service. The most difficult deformities to deal with are the "monkey foot," the flaccid foot, and depressed anterior arches. I think the best operation for the cure of the everted foot with marked displacement of the scaphoid, is one which was first brought to my attention by Dr. Robert E. Soule. This opera

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FIG. 3. Hallux valgus and bunion; note deviation from normal of first metatarsal and phalanges of great toe; also exostoses (e) on other bones; also prominent, dislocated scaphoid.

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FIG. 4. "High arch"-full weight on feet; painful after marching.

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FIG. 6. Pinning operation for everted foot with displaced scaphoid. Actual length of pin

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