Men with no spleens and carved-out feet: what is the meaning in the words?

@article{Oren1998MenWN,
  title={Men with no spleens and carved-out feet: what is the meaning in the words?},
  author={M Oren and Joanne Herman and J M Elbaum},
  journal={Annals of internal medicine},
  year={1998},
  volume={129 9},
  pages={756-8}
}