Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . tremities. The soft tibia andfibula are ill prepared to balancethe weight of the body. Theflimsy fundament thus tumblesunder its encumbrance. Thehapless patient learns to walklate and with difficulty, or, as itwere, forgets or unlearns howto walk. If he continues towalk, the tibia and fibula bendeither outward (bowlegs — genuvarum; O-shape), inward (knock-knees—genu valgum; Curvatures v .& & of lower A-shape), torward (saber-blade shape), or in severe cases extremi


Modern diagnosis and treatment of diseases of childern; a treatise on the medical and surgical diseases of infancy anf childhood . tremities. The soft tibia andfibula are ill prepared to balancethe weight of the body. Theflimsy fundament thus tumblesunder its encumbrance. Thehapless patient learns to walklate and with difficulty, or, as itwere, forgets or unlearns howto walk. If he continues towalk, the tibia and fibula bendeither outward (bowlegs — genuvarum; O-shape), inward (knock-knees—genu valgum; Curvatures v .& & of lower A-shape), torward (saber-blade shape), or in severe cases extremities. ,.,.,.. ,. . , simultaneously in different directions. As in the upperextremities there is also an enlargement of the epiphyseal endsof the hones, and occasionally infraction of the sitting crossed-legged may present also more or lesspronounced curvatures of the femur and pelvis. Rachitic flat-foi it is rare. The course of these deformities varies. In the majority ofmild and moderately severe cases spontaneous recovery occurswith improvement of general condition. On the other hand, in. Fig. 159—Rachitic Bow-legs, Jug-shaped Abdo-men, and Separation of Epi-physes — Double-jointed.(Sheffield.) RACHITIS. 501 extreme cases, where, as a rule, growth is greatly retarded, thecurvatures persist and require forcible corrective measures. The muscles generally participate in the rachitic are thin and flabby and partly responsible for the difficultyin sitting and walking (pseudoparalysis), abdominal distention Sraiysk(pot-belly), and for the constipation and prolapsus recti. The Pot-beiiy.


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Keywords: ., bookcentury1900, bookdecade1910, booksubjectchildren, bookyear191