54 Hereditarij SyndactifUsm and Pohjdaciylism 



The 3rd and 4th fingers on each hand were webbed. He also had 

 6 toes on each foot, the 4th, 5th, 6th toes being webbed. These were 

 seen by his daughter III. 2 — the writer's chief informant. 



II. 3. David lived at Abei-ystwith, married II. 11, who was un- 

 affected as far as is known. He had, like his father, webbed 3rd and 4th 

 fingers on both hands, 6 toes on each foot. Issue III. 11, III. 12 both 

 affected : degree unknown. 



II. 7. Elizabeth lived with her brother II. 2 in Warrington until 

 she married II. 12, Jones, had issue III. 13 — III. 16. She was affected 

 in a similar manner to her brother and fjithcr. 



II. 4, 5, 6, 8, 9, 10 were all affected with webbed 3rd and 4th fingers 

 on each hand, and 6 toes on each foot. The writer's chief informant is 

 very positive on this although .she cannot give any further information 

 regarding these six uncles. Naturally the reader may have some doubts 

 regarding the uniformity of the condition in this second generation, but 

 the writer is compelled to state the information as he received it, and 

 considerable reliance must be placed on III. 2's statements because her 

 information regarding the Salford family, which was only discovered 

 after a considerable search, proved accurate. 



Generation HI. 



III. 2. Charlotte Joseph married III. 1 (Oliver) unaffected: lives 

 in Wan'ington. Had issue IV. 2 — IV. 18, condition of hands and feet 

 shown on Plate XIV where she is photographed with her daughter 

 Ciiarlotte IV. 8. The webbing of the 3rd and 4th fingers on each hand 

 is well shown, and the marked crooking of the two webbed fingers on 

 the left hand is very evident. It will be noted in addition that there is 

 a ci-ooking of both little fingers. 



In the feet the right foot shows 6 toes with webbing of 4th, 5th, 6th. 

 The left foot is normal. 



Skiagraph B (Plate XV) shows the condition of the bones in the 

 hands. 



Right Hand. As in the photograph the webbing and union of the soft 

 parts are seen but the metacarpal bones and phalanges are distinct. It 

 will be seen that the terminal phalanx of the 4th finger has the appear- 

 ance of being composed of the union of two phalanges, leaving a distinct 

 foramen in the centre of the union. The little finger is distinctly 

 crooked. 



Sesamoid bones are present at the metacarpo-phalangeal joints of 

 thumb, index, and little finger. 



