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An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . e rendering it more easilyacted on by the muscles. The changein the upper jaw-bone he attributeslargely to lateral pressure of the zygo-matic arches. Changes in the Ribs.—The ribs areeasily affected in rachitis. The swell-ing of their anterior ends, where theyunite with the costal cartilages, pro-ducing the rachitic rosary, has beenalready alluded

An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . e rendering it more easilyacted on by the muscles. The changein the upper jaw-bone he attributeslargely to lateral pressure of the zygo-matic arches. Changes in the Ribs.—The ribs areeasily affected in rachitis. The swell-ing of their anterior ends, where theyunite with the costal cartilages, pro-ducing the rachitic rosary, has beenalready alluded Stock Photo
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The Reading Room / Alamy Stock Photo

Image ID:

2AWHW19

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7.1 MB (273.7 KB Compressed download)

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Dimensions:

1350 x 1851 px | 22.9 x 31.3 cm | 9 x 12.3 inches | 150dpi

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An American text-book of the diseases of childrenIncluding special chapters on essential surgical subjects; orthopaedics, diseases of the eye, ear, nose, and throat; diseases of the skin; and on the diet, hygiene, and general management of children . e rendering it more easilyacted on by the muscles. The changein the upper jaw-bone he attributeslargely to lateral pressure of the zygo-matic arches. Changes in the Ribs.—The ribs areeasily affected in rachitis. The swell-ing of their anterior ends, where theyunite with the costal cartilages, pro-ducing the rachitic rosary, has beenalready alluded to as one of the firstand most conspicuous signs of rachitis. The costochondral articulations areenlarged in all directions, appearing as nodules under the skin. If at anautopsy an opportunity of inspecting the pleural surface of the articulationoccur, the nodular prominence is seen to be even greater and more distinctthan under the skin (Fig. 4). The deformity of the thorax, consequent upon softening of the ribs, isinteresting. Commencing with the spine, the ribs extend nearly directly out-ward : at the union of the dorsal and lateral portions they make a short curveforward and then turn inward, also with a short curve, toward the sternum. Rachitic Child with characteristic deformity ofhead and ribs. (From a patient in the NewYork FoundUng Hospital). RACHITIS. 335 (Fig. 5). This abrupt bending of the ribs, which in their softened state hasbeen caused by atmospheric pressure during respiration, produces a depress-ion in the thoracic wall at about the point Avhere the ribs and their cartilagesunite. A groove extends on the antero-lateral aspect of the thorax from thesecond or third rib dowjiward and a little outward. In some cases the costo-chondral articulations are in the line of greatest depression in the thoracicwalls ; in other cases they are a little inside or outside of the deepest part ofthe groove. The transverse diameter, therefore, of the anterior half of thethorax

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