A treatise on orthopedic surgery . Deformity of the femur in genu val-gum. (Mikulicz.) 606 OBTEOPEDIC SUBGEBY. chitis, the bones may be twisted and bent in various directions,although the outward expression of the deformity may be genuvalgum. For example, the femora may be bent forward andoutward above and inward and backward below, while the tibia?may be bent inward above and outward and forward below. Fig. Knock-knee and bow-leg. In other instances, especially in the slighter rhachitic de-formities, an outward bowing of the leg mnj accompany a slightdegree of knock-knee, so that it may


A treatise on orthopedic surgery . Deformity of the femur in genu val-gum. (Mikulicz.) 606 OBTEOPEDIC SUBGEBY. chitis, the bones may be twisted and bent in various directions,although the outward expression of the deformity may be genuvalgum. For example, the femora may be bent forward andoutward above and inward and backward below, while the tibia?may be bent inward above and outward and forward below. Fig. Knock-knee and bow-leg. In other instances, especially in the slighter rhachitic de-formities, an outward bowing of the leg mnj accompany a slightdegree of knock-knee, so that it may be difficult to classify thedeformity. In the more extreme deformities of the rhachitic type theshape as well as the contour of the bones is markedly modified,for example, the internal border of the tibia may become very DEFORMITIES OF BONES OF LOWEB EXTEEMITY. 607 prominent at its upper extremity, and may project beneath theskin like an exostosis (Fig. 403). A change in the contour ofthe fibula accompanies and corresponds to that of the tibia,although it is, as a rule, much less pronounced. As has beenstated, the internal structure or architecture of the affected Fig. 404.


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