Licence: In copyright
Credit: Clinical essays and lectures / by Howard Marsh. Source: Wellcome Collection.
Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)
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![horizontal position as absolutely as possible, for in very young children the skin is so readily injured, the breathing- is so easily interfered with, and the abdomen is subject to such considerable variations in size from hour to hour, that no mechanical appliance can be used with any hope of success. In these early cases prognosis is by no means favourable. In two of the cases I have met with suppuration occurred and the patients died from exhaustion. The second form of curvature that is met with in the first year of life is due to rickets. Kickets produces in older children, three varieties of curvature : general bowing of the whole spine backwards; ordinary lateral , curvatvire ; and lordosis or increase of the lumbar curve forwards (the condition to which mothers make a quaint allu- sion when they say that the child is cutting his teeth in his loins ). The first and second of these curvatures are met with in the first Fig. 23. Fig. 24. year of life. The first, when fig. ^a.-Generai bowing back * it is originally developed wards of the spine in rickets. ,] r. 1 -t^ ' Fig. 24.—More acute curva- aSSUmeS the lorm shown m ture seen at a later stage. Fig. 23. Later, if the child is very rickety and is nursed much in the sitting position, it soon takes the outline shown in Fig. 24. When this is the case it may very easily be mistaken for true angular curvature depending on caries ; and this mistake is the more likely to be made because rickety children are often tender, so that they cry M](https://iiif.wellcomecollection.org/image/b21290714_0193.jp2/full/800%2C/0/default.jpg)
