4 The Philippine Journal of Science 1922 
ends curved toward each other like two claws. There is a deep 
cleft between the two toes extending down to the metatarsal 
region. The skin shows considerable wrinkling, not unlike the 
condition observed when a foot has been under water for some 
time. (Plate 3, fig. 1.) 
The bones of the tarsus are apparently normal, except the 
cuneiform bones, which are so blurred that it is impossible to 
determine whether there is fusion between them, or between ° 
them and the cuboid. (Plate 3, fig. 2.) 
Only the first and the fifth metatarsals are present. The 
former is easily identified by its large size and the latter by its 
proximal tuberosity. Both bones, as well as their phalanges, 
are normal. (Plate 3, fig. 3.) 
Left foot.—The left foot presents three toes: the great, the 
fourth, and the fifth, each with a nail. The last two are syn- 
dactylized. The great toe is bent laterally and almost touches 
the fourth. The skin is like that of the other foot. (Plate 4, 
fig. 1.) 
The tarsus is entirely similar to that of the right foot. Only 
the second metatarsal is absent. The third metatarsal is 
slenderer and has no phalanges. The first, fourth, and fifth, 
with their phalanges, are normal. (Plate 4, figs. 2, 3.) 
CASE II 
Our second case is a well-developed girl, aged 18, admitted to 
the Philippine General Hospital for some heart complaint. 
Right hand.—Aside from a contracted condition of the middle 
finger and a diminutive supernumerary digit hanging by a nar- 
row stalk from the base of the thumb, this hand is normal. 
Right foot.—The right foot has only two toes, the first and the 
fifth, each provided with its nail, with their distal ends curved 
toward each other, as in the other case. There is also a deep 
cleft, extending to the metatarsal region, separating the two 
toes. (Plate 5, figs. 1, 2.) 
The tarsus is apparently normal. 
The second and third metatarsals are absent. The fourth is 
smaller and bent to the left. It has no phalanges. The first 
and fifth metatarsals, and their phalanges, are normal. Epi- 
akes lines are distinct in some of the Phalanges. (Plate 5, 
g.. 8. 
Left foot.—The left foot presents three toes, the great, the 
fourth, and the fifth, each with a nail and normal in appearance. 
