. The diseases of children : medical and surgical. Fig. 36.—The same child shown in thelast two figures. The limbs have beenstraightened by osteotomy. Fig. 37.—A child aged 7 years, showing extreme stunt-ing frorn premature Synostosis, as well as variousdeformities, all the result of Rickets. The childcould not stand alone. 2IO General Diseases A similar condition may occur as a result of separation of the lower epiphysisof the humerus and irregular union. In the humerus the deformity consistsusually in curvature with the convexity outwards. The rickety deformities chiefly amenable to surgical


. The diseases of children : medical and surgical. Fig. 36.—The same child shown in thelast two figures. The limbs have beenstraightened by osteotomy. Fig. 37.—A child aged 7 years, showing extreme stunt-ing frorn premature Synostosis, as well as variousdeformities, all the result of Rickets. The childcould not stand alone. 2IO General Diseases A similar condition may occur as a result of separation of the lower epiphysisof the humerus and irregular union. In the humerus the deformity consistsusually in curvature with the convexity outwards. The rickety deformities chiefly amenable to surgical treatment are thoseof the spine and limbs ; distortions of the chest and pelvis can only beimproved by general management of the health, and prevented from gettingworse, though gymnastics directed especially to exercise the inspiratorymuscles other than the diaphragm, and to increase the inspiratory capacity,are of great value in the treatment of rickety chests. For the pelvis, evenif the distortion is noticed before adult hfe, nothing can b


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