. The diseases of children : medical and surgical. g. 189.—Abnormal position in utero, causing genu recur-vatum and talipes calcaneus, &c., from sketch by the lateMr. C. F. Sutton. 1 Adams, Lancet, December 13,August 1891, also i8qi ; and Andersons Lectures, Lancet, PLATE IV.. Congenital Dislocation of the hip. The acetabulum is seen fai- belowthe head of the femur. Congenital Dislocation of the Hip 751 intra-uterine pressure from malposition is the most frequent cause, thoughnot the only one. In all cases more or less deformity of the bony articularsurfaces is found, and this is of the utmost
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. The diseases of children : medical and surgical. g. 189.—Abnormal position in utero, causing genu recur-vatum and talipes calcaneus, &c., from sketch by the lateMr. C. F. Sutton. 1 Adams, Lancet, December 13, August 1891, also i8qi ; and Andersons Lectures, Lancet, PLATE IV.. Congenital Dislocation of the hip. The acetabulum is seen fai- belowthe head of the femur. Congenital Dislocation of the Hip 751 intra-uterine pressure from malposition is the most frequent cause, thoughnot the only one. In all cases more or less deformity of the bony articularsurfaces is found, and this is of the utmost importance, since it largely pre-vents the possibility of anything like complete reduction. In congenital dislocation of the lower jaw the condyle and glenoidcavity, as well as much of the bony framework of that side of the skull, havebeen found stunted. Occipito-atlantoid dislocation, both backward andforward, has been described ; in the former the head is flexed, in the latterhyper-extended. Dislocations of the clavicle in the varietiesmet with in later life are also mentioned byGuerin. The humerus may be displaced down-wards, forwards (subcoracoid), or backwards(subspinous), with arrest of growth of muscleand bone, and deviation from the normalshape of the articula