J. S. Manson 59 



IV. 33, 35, 36. Fisher, William, Emily and Alfred, unaffected. 



IV. 34. Margaret Fi.sher, married IV. 37 (Weir), issue V. 3—5. 

 Pas webbed 3r(l and 4th finujers on each hand. The tips of the 3rd 

 and 4tli fingers of left hand are more emupletely joined than tho.se on 

 the right side. The nail is single in form and ap[)earance except for a 

 dividing line between the two halves. There are (i toes on each foot 

 lint the .")th toe is very diminutive in size but has a distinct and well- 

 formed nail. 



Right Hand, shows that the bony phalanges of the 3rd and 4th 

 fingci-s are normal in size and shape, but are permanently in touch 

 with each other from the head of the 4th proximal phalanx in a distal 

 direction. This also shows that the middle phalanx of the 5th finger 

 is shorter than normal. 



Sesamoid bones at 1st, 2nd, 3rd, 4th and 5th metacarpo- 

 phalangeal joints. 



Left Hand. Here the proximal and middle phalanges of the 3rd 

 and 4th fingers are normal in shape and size, but the terminal phalanges 

 are bent towards each other and juin to fnnu a liony union. 



The middle and terminal phalangi's of the 5th finger have joined to 

 form one bone. From what appears to be the limits of the middle 

 I)halanx of this 5th finger, it must be judged to be .shorter than normal. 



Sesamoid bones at 1st, 2nd, 3rd, 4th, 5th metacarpo-phalangcal 

 joints. 



Rigid Foot. Metatarsals normal in number and shape, and articu- 

 lating with the head of the 5th metatarsal are two irregularly shaped 

 bones. The outer of these articulates with an H-shaped bone which 

 represents the bony basis of the 5th and 6th toes. 



Left Foot. Metatarsals normal in number and shape except that 

 fi'om the inner side of the head of the 5th metatarsal a process of bone 

 projects. 



Lying on the outer side of the head of the 5th metatarsal is a piece 

 of bone on which i-ests an irregularly H-shajjed piece of bone represent- 

 ing the bony formation of the 5th and 6th toes. 



Generation V. 



V. 1, 2. Wilford, unaffected. 



V. 4. Leslie Weir, unaffected, dead. 



V. 3. Mabel Wh-'n: Died at Salf'ord Hospital from scalds ; hnrl 3rd 

 and 4th fingers of both hands webbed, and had had operations to relieve 



