Department of Pediatric Orthopedics, Harvard Medical School, Massachusetts General Hospital, Boston, MA.
J Pediatr Orthop. 2022;42(10):e985-e986. doi: 10.1097/BPO.0000000000001937. Epub 2021 Aug 5.
Harold Copping illustrated an edition of Charles Dickens' classic, "A Christmas Carol." One of the paintings of Bob Cratchit and Tiny Tim in the book shows Tiny Tim wearing braces on his lower limbs. Several diagnoses of Tiny Tim's ailment have been suggested in the past but based on the details of Copping's painting we suggest that he had rickets. The above-knee braces with uprights only on the lateral side of the limbs may have been given to prevent genu valgum, a common deformity in childhood rickets.
哈罗德·科普曾为查尔斯·狄更斯的经典作品《圣诞颂歌》配图。书中有一幅画描绘了鲍勃·克拉奇特和小蒂姆，画中显示小蒂姆的下肢戴着矫形器。过去曾对小蒂姆的病症提出过几种诊断，但根据科普画作的细节，我们推测他患有佝偻病。这种只在四肢外侧有立柱的上腿矫形器可能是为了防止儿童佝偻病常见的膝内翻畸形。
