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in some relation to the scaphoid. He apparently has not met with 
this in man, unless the separated part of the first metatarsal is more 
properly considered a case of it. He has suggested provisionally the 
name of praecuneiforme but subsequently proposes as more accu- 
rate that of paracuneiforme. As he well remarks this region 
will repay further examination. In the mean time I would suggest 
that the title paracuneiforme be used for anomalous ossicles 
occurring in relation to the first cuneiform with the exception of the 
intermetatarseum and of that which I have named the inter- 
cuneiforme, which occupies a definite situation of its own in a 
constant fossa. 
This foot presents other peculiarities which are of much morpho- 
logical interest. The os calcis and the scaphoid are united by a surface 
which, measured on the latter, is 15 mm broad on the dorsal and 
11 mm on the plantar end. It is probable that the bones were joined 
by non-articular cartilage. Two elements are said to have a share 
in this coming together of the os caleis and scafoid, namely the 
secondary calcaneus at the dorsum and the secondary cuboid in the 
sole. PFITZNER rejects on the grounds of the difference of position 
and of the absence of any transitional forms, the idea that these two 
ossicles might be one and the same. If it were necessary to add 
anything to his views this specimen would furnish a conclusive 
proof of their justice; for here we have a very plain secondary cuboid 
fused as usual with the scaphoid, and also a secondary calcaneus which 
is an entirely detached bone. The dorsal surface of this ossicle is 
triangular. The greatest antero-posterior diameter is 12 mm and 
the greatest transverse is 13 mm. The thickness is about 8 mm. 
The dorsal surface is irregular. Most of its anterior part is occupied 
by a depression. (The posterior overhanging edge of this casts a 
shadow in the photograph which suggests the posterior border of the 
bone. That border, however, is some 4 mm behind it.) The fossa 
receiving the ossicle is between the os caleis and scafoid but chiefly 
in the former, with which the ossicle is evidently most intimately 
related. The surfaces for both bones suggest non -articular cartilage. 
The ossicle seems to take no part in the formation of the joint for 
the head of the talus. An important peculiarity is that it does not 
from the whole of the dorsal aspect of the bridge connecting the os 
-calcis and scaphoid, but only the proximal part of it. This implies the 
necessity of some modification of Prirzner’s views. He holds that 
we can explain coalescence or synchondrosis of these bones (putting ,, 
aside the share of the cuboides secundarium) only on the 
