Lectures on orthopedic surgery . Fig. 205.—Congenital rickets, showingknockknees. 255 region, so much so as to closely resemble the kyphosisof spondylitis, and if it is held rigid because of thetenderness of the bones the diagnosis between a spondy-litic and a rachitic curvature may be very bones of the arms may be bowed like unto the legs,and the scapulae and collar-bones may also be dis-torted. The head is often of a characteristic is flattened at the top and at the sides, the occiput li /h-;^Mi. FlG. 206.—Eachitic curvature of the spine. Fig. 207.—Bowlegs in an i
Lectures on orthopedic surgery . Fig. 205.—Congenital rickets, showingknockknees. 255 region, so much so as to closely resemble the kyphosisof spondylitis, and if it is held rigid because of thetenderness of the bones the diagnosis between a spondy-litic and a rachitic curvature may be very bones of the arms may be bowed like unto the legs,and the scapulae and collar-bones may also be dis-torted. The head is often of a characteristic is flattened at the top and at the sides, the occiput li /h-;^Mi. FlG. 206.—Eachitic curvature of the spine. Fig. 207.—Bowlegs in an infant. and frontal bosses are prominent, and the headfviewedfrom above suggests a square (caput quadratum). Theface is small when compared with the head as a lax ligaments, weak muscles, and tender bonesrender weight-bearing difficult, and these childrenconsequently walk late, rarely before the fifteenthmonth, and often not before the end of the second orthird year. Contrary to the general impression, chil- 256 dren that walk at an early age do not develop bowlegsand knockknees, while those that walk late are verysubject to these deformities. The teeth usually appearlate and at irregular intervals ; they are poorly formedand soon decay. Sooner or later solidification of thesoft bones takes place, the process is usually a veryrapid one, and the bone becomes unnaturally hard andivory-like. It is pretty generally believed that rachitic deformities
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectorthopedics, bookyear
