The altered forces at the knee caused by walking in high heels, may predispose to degenerative changes in the knee joint. Although high heels originated as male footwear around 1500, since the late 1700s, men's shoes have had primarily low heels. While mounting, the slick, treadless leather sole of the boot allowed easy insertion of the foot exposed to air. While an extremely pointed toe is a modern stylization appearing in the 1940s, the toe of the original boots retained the more rounded shape of other boots. Cap-toes - has an extra layer of leather that 'caps' the toe. This is possibly the most popular decoration They have a high heel, rounded to pointed toe, high shaft, and no lacing. Wing-tips - The toe of the shoe is covered with a perforated panel, the wing-tip, which extends down either side of.

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