File:Maryland medical journal (1902) (14780508714).jpg

Identifier: marylandmedicalj4519medi (find matches)
Title: Maryland medical journal
Year: 1902 (1900s)
Authors: Medical and Chirurgical Faculty of the State of Maryland
Subjects: Medicine
Publisher: Baltimore : Manning and Ashby
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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, and the tibiae are on the outside of the leg, while the fibulaeare on the inside. Often only one fibula is found between the tibiae.The bones of the foot are usually double. The deformity of the pelvis brings the cotyloid cavities back-w^ard and towards the middle line, and thus causes the femora tomore nearlv approach each other, and often to unite into one bonein their lower portion. This malposition of the articulating surfaces and retraction ofthe heads of the femora also causes the normal anterior surfaceof the femur to face externally, while the normal posterior surfacefaces internally. The muscles towards the median line are united,while the other muscles are so placed as to accommodate them-selves to the half revolution of the thigh, and the complete revolu-tion of the leg and foot. The great sciatic nerve usually unitesinto one large trunk, which supplies the extremity. The cruralartery also unites into one trunk. The bladder is misformed or wanting, and the ureters usually
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4 MARYLAND MEDICAL JOURNAL JAN., 1902 are not attached to the bladder, but open into the dilated blindpouch which forms the end of the intestinal canal. Testicles andovaries are sometimes found, but the seminal or Fallopian tubesempty into the intestine. The external genitalia and anus areabsent. The sympus monopus or uromeles has only one foot, and thefemora are partially fused, while the tibiae are single. There is nosign of anus or external genitalia. The pelvis is similar to that ofthe dipus. The femur is either single or two such bones are fusedinto a thick, partially-divided bone. The epiphyses are doubled,and the foot usually has from six to eight toes. There is usuallyno bladder or rectum, and the kidney and internal genital organsare very rudimentary. The sympus or sirenomeles gradually tapers off to a pointedextremity, and no trace of a foot can be seen. There is no anus orevidence of external genital organs, and the pelvis is very muchdeformed. The sacrum is often absent, amarylandmedicalj4519medi

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