. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. 450 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. UterineDisplacement*. go forward, and admit the fundus into Douglass the peritoneal surfaces become inflamed, as oftenhappens, the uterus becomes glued by adhesions in itsabnormal position ; thus we have retroversion with ad-hesions. Retroflexion may be congenital. Schultze attributespuerile retroflexion to a congenital shortening of the an-terior vaginal wall. Retroversion may be caused by thecontracti
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. 450 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. UterineDisplacement*. go forward, and admit the fundus into Douglass the peritoneal surfaces become inflamed, as oftenhappens, the uterus becomes glued by adhesions in itsabnormal position ; thus we have retroversion with ad-hesions. Retroflexion may be congenital. Schultze attributespuerile retroflexion to a congenital shortening of the an-terior vaginal wall. Retroversion may be caused by thecontraction of an anterior parametritis (Fig. 4311). By far the most common predisposing cause is child-bearing. Here we often have relaxation, elongation, andtraction upon the sacro-uterine ligaments, together withan increased weight of the uterus in a person of lax mus-cular tone. According to Schultze, when the sacro-uterine ligaments become inflamed, the cervix is drawnback, causing anteflexion (Fig. 4296), but later they may. Fib. 4310.—Retroversion of Uterus with Relaxation of Sacro-uterineLigaments. (Schultze.) become atrophic and allow the cervix to push too farforward, and thus cause retroversion (Fig. 4310). According to Winckel, about ten per cent, of all retro-versions occur in nulliparae and unmarried women. Chronic constipation causes permanent dilatation of therectum, which pushes the cervix forward and stretchesthe utero-sacral ligament, thus helping to cause retrover-sion. Any increase of weight in the uterus, as pregnancy orsubinvolution, increases the tendency to hyperplasia of the cervix due to laceration maycause retroversion. The pressure of tumors is a com-mon cause. Retroversion may occur suddenly from a strain or fall,but usually takes place gradually, and is most often dueto want of muscular tone. The uterus may be drawndown into retroversion by inflammation, but this is prob-ably very rare, as recent cases are never adherent. Onthe other han
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