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The palaeontologist might tell us if some such case of ischial approximation by natural mechanical causes has not caused the probable extinction of whole genera of vertebrates.

In fracture of the ischial tuberosity, infection is more apt to result than in like injury of the ilium, and greater displacement of bone occurs. This displacement, due to contraction of the attached muscles, is in some instances a contributing cause to the infection which often follows in these cases.

Anderson thus sums up his observations: "These facts seem to me to have only one explanation; this tail, from its short size, is in the monkey's way when it sits down, and frequently becomes placed under the animal while it is in this attitude; and from the circumstance that it does not extend beyond the extremity of the ischial tuberosities, it seems as if the tail originally had been bent round by the will of the animal, into the interspace between the callosities, to escape being pressed between them and the ground, and that in time the curvature became permanent, fitting in of itself when the organ happens to be sat upon."

The nerve is sensitive to pressure, the most tender points being its emergence from the greater sciatic foramen, the hollow between the trochanter and the ischial tuberosity, and where the common peroneal nerve winds round the neck of the fibula. The muscles of the thigh are often wasted and are liable to twitch.

While in many cases of pelvic fracture lameness or abnormal decumbency are the salient manifestations, yet the pathognomic symptoms are crepitation or palpable evidence which may be obtained by rectal or vaginal examination. In fractures of the angle of the ilium and the ischial tuberosity, perceptible evidence always exists.

In cases where fracture of some portion of the pelvic girdle is suspected and the subject is able to walk, crepitation is sought by placing one hand on an external angle of the ilium and the other on the ischial tuberosity and the animal is then made to walk.

In the innominate bones of a young child the box-shape exists, while its prominent abdomen resembles that of the gorilla. The gibbon exhibits this iliac expansion through the sitting posture which developed his ischial callosities. Similarly iliac expansion occurs in the chimpanzee.

After a very careful handling, and examination of the parts about the hips, the places where he expressed pain, I came to the conclusion that there had been, and still existed, some fracture of 'the ischial portion of the pelvis', but precisely where, or of what nature, I could not determine; and all the treatment I could recommend was, that the animal should be shut up within a basket or box of some, sort, of dimensions only sufficient to enable him to lie at ease, and that he be kept there for at least six months, without being taken out, save for the purpose of having his bed cleansed or renewed.