Identical twins (see multiple birth) whose embryos did not separate completely. Conjoined twins are physically joined (typically along the trunk or at the front, side, or back of the head) and often share some organs. Symmetrical conjoined twins usually have no birth anomalies except at the areas of fusion and can sometimes be separated by surgery. In asymmetrical conjoined twins, one is fairly well developed, but the other is severely underdeveloped and dependent on the larger twin for nutrition. The underdeveloped twin may have to be surgically separated to save the larger twin. The term originally referred to Chang and Eng, born in 1811 in Siam, who were joined by a ligament from breastbone to navel. Widely exhibited, they married two sisters and fathered several children.
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There is some ambiguity regarding what defines a V-twin which arose from 180 degree "V" engines (see Flat engine). When the cylinders are arranged in a V pattern, it is generally accepted as being a V engine. However, some people differentiate using "V-twin" to mean the classic V design of a shared crank pin for each pair of cylinders and "V-2" to indicate a boxer-style crank with a separate crank pin for each cylinder. This convention is not common, and applies only to two cylinder engines. For example, while most V8 engines use shared crank pins for cylinder pairs, they are not referred to as "V-octuplets". Most engine manufacturers do not use this convention and the 1983 Honda Shadow 750 is known as being the first V-twin with an offset-dual-pin crankshaft.
The most obvious configuration for a V-twin is a 90°, in which counterweighting can balance the engine, in odd-firing 90 degree Vees. This is seen in the Moto Guzzi, Ducati and Suzuki SV650, but other angles can be seen like the 45° of the classic Harley-Davidson engine, the 75° Suzuki, the 52° Honda, the 80° Honda CX-500, the 47° Vincent, the 42° Indian, the 60° Aprilia, the 45° S&S, and the 56.25° S&S X-Wedge.
The signature Ducati engine, a transverse 90° twin with the front cylinder approximately parallel to the ground and the rear cylinder vertical, is sometimes referred to as an "L" twin.
According to the American Motorcyclist Association's Motorcycle Hall of Fame Museum, regarding the World-War-II-vintage Harley-Davidson XA, which has an opposed twin engine — "Mechanically, the large cooling fins stuck straight out in the breeze, reportedly keeping the XA’s oil temperature 100 degrees cooler than a standard Harley 45." The latter was a transversely mounted V-twin, in which the airstream cannot reach the rear cylinder as efficiently as on a longitudinally mounted flat twin.
Douglas Motorcycles made a flat-twin with fore-and-aft cylinders, which allowed the engine to be mounted lower in the frame. The disadvantage was that the rear cylinder tended to overheat. Currently there are no motorcycles with this configuration in mass production.