576 The Limbs as a Wliole. 



11. 16. Cong-enital Hypertrophy of Fingfep.— Cast in glycerine 



and gelatine of a baby's hand and forearm, illustrating the 

 above. 



The finger had been unusually large at birth, and had afterwards 

 increased still more out of proportion to the others. It was amputated by 

 Dr Joseph Bell the day after the cast was made. 



The finger is about one-third longer and three or four 

 times thicker than the others. The end of the finger is about 

 the same girth as the infant's wrist. G. C. 2731. 



Presented by Charles W. Cathcart, F.R.C.S.E., 1884. 



Lower Limh. 

 a. From deficiency in development. 



11. 17. Cong-enital Absence of the Lower Half of the 



Tibia. — Right lower limb of a newly born infant, dissected from 

 the thigh downwards, showing the condition of the structures 

 accompanying the above malformation — in spirit. 



Tlie child was born at full term. The parents were healthy and without 

 any history of malformation on either side. The child died of atelectasis, 

 twelve hours after birth. 



The tibia is apparently well formed at the knee-joint, but 

 half-way down it tapers to a fine point, which had partly pro- 

 jected through the skin. The fibula is unusually strong, and is 

 bent iuAvards near its lower end. The foot is displaced inwards, 

 as in talipes varus, and the astragalus articulates with the side 

 of the lower end of the fibula. The muscles are fairly well 

 developed. G. C. 2504. 



Presented bij William Craig, F.R.C.S.E., 1878. 



(For full description of the dissection, vide the account of the case by 

 Dr Craig in The Journal of Anatomy and Physiology, vol. xii. 1878.) 



11. 18. Cong-enital Absence of the Tibia.— Lower end of the 



femur with the patella and leg of a young child dissected and 

 in spirit, illustrating the above. 



