sufficient to admit the finger to pass into the vagina by that passage,
and another aperture below, but rather larger, and parallel with the
junction of the tuberosities of the ossa ischii. From what I learned
afterwards respecting this decrepit female, she survived this period about
two years, at which time she was become still more distorted in the spine;
and after her death it was with difficulty she could be put into her
coffin; this woman bore nine children, and died in the thirty-ninth year
of her age." (Barlow's _Essays_, p. 329.)
Mollities ossium may be feared when, in addition to the general breaking
up of the health and strength, the patient suffers from arthritic pains
and swellings of the limbs, the urine is generally loaded with lithic
secretion: and most of all, where distinct shortening and gradual
distortion of the skeleton is taking place. Where the deformity has been
the result of rickets in early life, a little careful observation of the
patient's external appearance will quickly lead the experienced eye to
suspect the nature of the case.
_Symptoms of deformed pelvis._ Among the external appearances which would
lead us to suspect a deformed pelvis, are "the lower jaw projecting beyond
the upper; the chin very prominent; the teeth grooved transversely;
unhealthy appearance; pale ashy colour of the face; diminutive statue;
unsteady gait; when the woman walks the chest is held back, the abdomen
projects, and the arms hang behind; there is deformity of the spine and
breast, one hip higher than the other, the joints of the hands and feet
are remarkably thick; curvature of the extremities, especially the
inferior, even without distortion of the spine is a very important sign;
wherever the lower extremities are curved, the pelvis is mostly deformed:
it is well to ascertain also if, when a child, it was a long time before
she could walk alone; whether she had any fall on the sacrum; whether as a
girl she was made to carry heavy weights, or to work in manufactories."
(Naegelé's _Lehrbuch_. § 444.)
_Funnel-shaped pelvis._ Besides the above-mentioned species of pelvic
deformity, others are occasionally met with, the origin of which is but
little understood. The funnel-shaped pelvis is of this character, where
the brim is perfectly well formed, but where it gradually contracts
towards the inferior aperture. There are no evidences of its having been
produced by any disease; nor in fact can we assign any satisfactory cause
for this peculiar configuration: it appears to have been a congenital
formation.
[Illustration]
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