"In none of the cases, the particulars of which have come to my knowledge,
has there been any trace of rachitis; nor have any of the symptoms,
appearances, and morbid changes been observed which characterize mollities
ossium coming on after puberty. None of these cases have been traced to
the effects of external violence, as falls, blows, &c.; nor has there been
any complaint of pain in the region of the pelvis, inferior extremities,
&c." (_Das Schräg Verengte Becken_, p. 12.) "With respect to the
strength, colour, structure, &c. of the bones of this species of deformed
pelvis, no difference could be observed between them and the bones of
young and perfectly healthy subjects; not a trace either in form or other
respects could be detected of those changes which usually result from
rachitis or mollities ossium; and but for this distortion and some other
slight irregularities, which required close inspection to detect, these
pelves would have been looked upon as well-shaped, and of sufficient
capacity." (Naegelé, _op. cit._ p. 11.) In some specimens no trace of
anchylosis at the sacro-iliac symphysis has been observed; but whether
this was the case throughout the union of the two bones we cannot say.
Professor Naegelé is inclined to look upon them as modifications of the
_pelvis obliqué ovata_, and certainly in the majority of known cases
anchylosis has been found present.
It is scarcely necessary to do more than enumerate other varieties in the
form of the pelvis, which are occasionally met with: it is sometimes
round, the transverse and antero-posterior diameters being of the same
length; in other cases it possesses many of the characters which
distinguish the male pelvis, being more or less triangular, deep, and with
a contracted angular pubic arch.
_Exostosis._ Lastly, the pelvis may be perfectly well formed, but the
passage through it more or less interrupted by the exostosis: this is,
perhaps, the rarest species of dystocia pelvica. It may arise from wounds
of the periosteum, from fracture of the bones, callus, &c. and may vary in
size from a small protuberance to a large mass, which completely fills up
the pelvis.
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