A treatise on orthopedic surgery . d attitude are the most im-portant symptoms, as of otherdistortions of similar patient is, as a rule, easilyfatigued, and pain during theprogressive stage, referred tothe inner side of the knee,where the ligaments are sub-jected to continuous strain is acommon symptom, particularlyin the adolescent type of genuvalgum. Unilateral Knock-knee.—Thisdescription refers particularlyto the cases in which the de-formity is bilateral. I^ot infre-quently it is unilateral, the limbbeing so shortened by the dis-tortion that a well-marked limp replaces the swayi
A treatise on orthopedic surgery . d attitude are the most im-portant symptoms, as of otherdistortions of similar patient is, as a rule, easilyfatigued, and pain during theprogressive stage, referred tothe inner side of the knee,where the ligaments are sub-jected to continuous strain is acommon symptom, particularlyin the adolescent type of genuvalgum. Unilateral Knock-knee.—Thisdescription refers particularlyto the cases in which the de-formity is bilateral. I^ot infre-quently it is unilateral, the limbbeing so shortened by the dis-tortion that a well-marked limp replaces the swaying gait. Thepelvis is tilted toward the short limb, while the body is inclinedin the opposite direction, thus in cases of long standing a per-manent curvature of the lumbar spine may be present. Knock-knee Combined with Bow-leg and with General RhachiticDistortions.—Occasionally the unilateral knock-knee may be ac-companied by an outward bowing of its fellow; and in themarked distortions of the lower extremity, induced by rha-. 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. 403.
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