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" ... Osteoarthritis is rampant in the man's right knee. The extent of it is so severe that the knee joint has what experts call "eburnation" -- from the Latin word for "ivory" which it resembles, eburnation is the result of complete destruction of the joint and its cartilage, so that bone rubs against bone during movement. At least two of his right toes also display eburnation, and the big toe shows evidence of hyperflexion. This extra range of motion plus a bony indication of a strong outside calf muscle add up to a man who was walking on tiptoe to compensate for the thigh bone shortened by a fracture. ... "