break your elbow
   obsolete
   to give birth to a child outside marriage
   The fracture was sometimes caused by a figurative bed:
    And so she broke her elboe against the bed. (Heath, 1650, of a single woman who had a child)
   If a woman broke her elbow in the church, she was judged not immoral but a bad housekeeper after marriage. A woman who copulated outside marriage was said to break her knee, in a direct translation from a French euphemism. If she broke her leg above the knee, referring to a ruined horse and the position of her genitals, she gave birth while unmarried, the putative father also being said to have broken his leg:
    If her foot slip and down fall she, And break her leg above the knee. (Fletcher, 1618)

How not to say what you mean: A dictionary of euphemisms. . 2014.

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