Rickets. 219 



6. 47. Distortion of the Femur from Rickets. Right femur 



— macerated, showing the above. 



This is probably from the same patient as the last specimen. 

 There is a decided bend of the shaft directed outwards, and 

 laterally flattened upon the curve. The oviter condyle is the, 

 more prominent downwards, and may have been associated 

 Avith genvi varum. Several irregular patches of new peri- 

 osteal bone are seen about the middle and near the upper end. 

 Not unlikely this is one of these cases where there has been a 

 genu varum on the one side and a genu vulgum on the other. 

 The condition of this bone is light and soft, like the previous 

 one. G. C. 360. 



6. 48. Distortion of the Femur and Tibia from Rickets.— 



Oil painting of a femur and tibia illustrating the above. 



The painting is from the bones of "Canny Elshie, the veritable 

 Black Dwarf of Sir Walter Scott, obtained on loan from the Parish of 

 Temple, where he was buried, and copied exactly in oils by P. D. H., in 

 the year 1827 or 1828." (Note in Dr P. H. Handyside's handwriting on 

 the back of the Painting.) 



The following particulars as to the " Black Dwarf " are 

 taken from Dr Craig's letter to Dr John Brown, which forms 

 part of the article "The Black Dwarf's Bones," in the ^o/w 

 Subsecivce (1882 ; second series, p. 344). 



He was four feet high " As near as I can learn, his forehead 



was very narrow and low, sloping upwards and backward, something of the 

 hatchet shape ; his eyes deep-set, small, and piercing ; his nose straight, thin 

 as the end of a cut of cheese, sharp at the point, nearly touching his fear- 

 fully projecting chin ; and his mouth formed nearly a straight line ; his 

 shoulders rather high, but his body otherwise the size of ordinary men ; his 

 arras were remarkably strong. With very little aid he built a high garden 

 wall, which still stands, many of the stones of huge size ; these the shepherds 

 laid to his directions. His legs beat all power of description ; they were 

 bent in every direction, so that Mungo Park, then a surgeon at Peebles, 

 who was called to operate on him for strangulated hernia, said he could 

 compare them to nothing but a pair of cork-screws ; but the principal 

 turn they took was from the knee outwards, so that he rested on his inner 

 ankles, and the lower part of his tibias ; . . . the thraivn twisted limbs 



