With regard to many cranial deformities, and especially various thickenings of the cranial bones, it must not be forgotten that they are not the expression of physical heredity, but are often pathologically acquired. Certain diseases of children are accountable for many of them. Various disorders of nutrition in the early years of life express themselves in bony deformities, and the skull is not spared. Rickets, for instance, is well recognised as a cause of such deformities. Owing to a wrong etymology of this word, by which it is supposed to be derived from the Greek word [Greek text], meaning the spine, rickets is sometimes scientifically { 276} called rachitis. The connection, then, between the cranial deformity and some underlying nervous disturbance might be assumed. It does not exist, however. Rickets is an English word, the derivation of which is unknown, but probably it is _wricken_, twisted, deformed, and its use has crept in because the disease was first described in England, and is indeed often spoken of on the continent of Europe as an English disease. Not that it is any more frequent in England, however, but was there first recognised as a distinct pathological entity. As the result of this affection the children, usually of poor parents, suffer from gastro-intestinal disorders of various kinds, and develop symptoms of malnutrition, affecting especially bone tissue. The ends of the long bones at the wrists and at the ankles, where the effects of the disease can be noticed particularly, become more thickened and nodular than usual. The ends of the ribs, where the bones join the cartilages, also become nodular, so that a series of beads can be seen down each of the child's sides, a condition described as the rickety rosary. In a similar way the bones of the skull become thickened, especially at the edges of the fontanels, that is, the openings in the child's head before complete ossification of the skull has taken place. As a consequence of this thickening these openings do not close as they should, and the head becomes markedly deformed in some cases.
Indeed, as has been shown by experts in children's diseases, many of the peculiarities that have been pointed out by over enthusiastic craniologists as indicating criminal degeneration, are really the results of the rickety process on the skull. Needless to say, however, this does not change the character of the individual, nor is there any good reason why such deformities should have any special connection with criminality. It happens that many of the criminal classes suffer from malnutrition in their early childhood, and as a consequence there is a faulty bony development of the skull. It is observations of this kind, particularly, that have served to discredit craniology as an independent science.