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A mosaic in the Chiesa delle Martorana in Palermo, Sicily, figures the Nativity, as described in the apocryphal Evangels, as taking place in a cave near Bethlehem. In the upper portion of the mosaic, with the angels, are two male figures, presumably St. John the Baptist and Simeon, who was not to die until he had seen the Christ. The Virgin is shown holding the child in the crib or manger, by which stand a horse and cow. St. Joseph is seen below, and, as was often the case, a subsequent scene is depicted showing the bathing of the child. The child in the crib has the binder arranged crosswise, as is seen in most representations dating from the tenth to the thirteenth centuries, evidently the fashion of those days. The child on the nurse's lap could have a congenital dislocation of the hip with the position in outward rotation,
RUHRÄH J. THE CROSSWISE BINDER. Am J Dis Child. 1932;44(3):598-599. doi:10.1001/archpedi.1932.01950100115013