Rickets, 211 



outwards, are rotated outwards, and are flattened and enlarged 

 at their lower ends. Tibae and Fibulse. — The tibiae and 

 fibulae are bent almost completely double, so that the knees 

 must have touched the outside of the foot during life. The 

 bones of the feet are comparatively unaltered. 



B. C. I. 3. M. 24. 



6. 26. Skeleton affected by Rickets.— Skeleton of a rickety 



woman (Christie Moore) showing alterations, chiefly in the 

 limbs and pelvis. 



"She was the little woman, with rather a good face, and a great deal 

 of impudence, who generally stood at the Infirmary gate to talk to the 

 students. She went with great velocity on her crutches. She had no 

 motion in her legs separately, they being twisted together curiously. 

 This made it the more extraordinary that she ever suffered as she did in 

 child-bed. She was pregnant twice, and the first child was brought away 

 at the eight months entire, but flattened. In her second labour I saw 

 her. She had gone the full time. When I examined the head of the 

 child, I found it perforated, and one of the parietal bones brought away. 

 After this, the other parietal bone was brought away by the use of the 

 crochet. The hook was then put into the foramen magnum and the base 

 of the skull brought down obliquely, but the operator with all his force 

 could not bring it through. This was on the second day of her labour. 

 She was much exhausted. Her voice, however, was hale and strong, and 

 • she would talk in her usual style of impudence. She sank rather rapidly, 

 and died undelivered. A model represents the appearance which presented 

 on dissection." (See " Obstetrical Collection.") 



The pelvis is greatly flattened. "It measures, between 

 the sacrum and pubis, two fingers' breadth only, or an inch and 

 a half, the transverse diameter four inches and a quarter. The 

 linea pectinia forms here a very sharp spine, as sharp as a 

 paper-folder. This was the cause of death, for in attempting to 

 bring the head through the pelvis, the womb was forced 

 against the ridge, and being pressed continually, gave way, so 

 that part of the child escaped through the rent in the womb. As 

 in the following specimen, the arm-bone is shaped by the action 

 of the deltoid muscle. The muscles of the shoulder were very 

 powerful, and she took great pride in the rapidity of hei' 

 progress." 



