Quotation from: Manual of Surgery

Written by: Alexander Miles and Alexis Thomson


The traumatic or strain factor in the production of the disease may be
manifested in a less obvious fashion. In the lower extremity, for
example, _any condition which disturbs the static equilibrium of the
limb as a whole_ would appear to predispose to the disease in one or
other of the joints. The static equilibrium may be disturbed by such
deformities as flat-foot or knock-knee, and badly united fractures of
the lower extremity. In hallux valgus, the metatarso-phalangeal joint of
the great toe undergoes changes characteristic of arthritis deformans.

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