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October 28, 1939


JAMA. 1939;113(18):1609-1614. doi:10.1001/jama.1939.02800430001001

The term retrodisplacement is used clinically to include both retroversion and retroflexion, although literally it implies a backward dislocation of the uterus irrespective of its relation to the vertical plane of the pelvis. A retroflexion differs from a version only in the break in alinement at the cervicocorporeal junction, and a distinction between the two is of only academic interest. Both alterations in position may be congenital or acquired; neither causes symptoms per se, and their treatment is identical. Retroversioflexions complicated by prolapse in the axis of the vagina constitute a separate problem and are not under consideration.

Congenital displacements are identified in most cases by the foreshortened anterior cervical lip and anterior vaginal fornix, a general hypoplasia of the internal pelvic organs, and the limited mobility of the uterus despite the absence of restraint from adnexal inflammatory involvements. They are frequently associated with endocrine derangements and discovered incidentally in

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