Allen,] 416 : | Dec, 21, 
The measurements were as follows : 
Left Side. 
The length of the spine of scapula .......+eeeseoeee 
Jreatest length Of SCADUIHiMWiWins is ss sks teevererccs OVO”! 
Distance from angle vo tip of acromion.. 6/7,.61// 
Length of clavicle: aan eon iiene inves sis vieeesise 6 O01! 
Right Side. 
The length of spine of scapuld..ceesesssee cece eveees 
Greatest length of scapula. ..s.cscse senses seccsrsoee 
Distance from angle to coracoid process. .... 
Lengih of clavigle., . scan aes atte vay gee wes ea 
Length of SGM. |... aceite ves ee eh cers se LON GON! 
Distance from proximal border of exostosis #6 the 
BM Bi 
B/G 
BGO 
6.91 
6/7, 0/7 
Al Ol 
QI QI! 
CLDOW, iki eee Miler ees wiv eit aie e cllaly n WravevelW.aib\6ip's S06 0.9 9s 
Distance from elbow-joint to wrist-joint.........0666 
Length Of met pualditey este eyes Weta hese sicess liens LM, 
Length OGeecOnd PNM ivenwi eh eeeyricctas scene, Ol, 
Gir 
Qi 
The motions of the left extremity were confined to upward traction of 
the scapula as already mentioned, and backward traction of the lobule, 
the latter apparently through the agen¢y of a pannicular muscular sheet. 
The motions of the right extremity embraced the powerful effects of the 
tractors of the scapula, and the flexors and extensors of the forearm. The 
shoulder-joint being anchylosed, the extrinsic muscle of the shoulder- 
girdle, the trapezius, the serratus magnus, the levator anguli scapula, and 
the serratus magnus, and possibly the sub-clavius, were mainly effective in 
moving the extremity. The pectoralis major was also powerful. Abduc- 
tion of the arm (probably rhomboidal) was associated with marked median 
(i. e. vertebral) deviation of the scapula ; adduction (pectoral) with equally 
marked ‘lateral deviation. Abduction was limited, the arm not being 
carried out from the trunk beyond “an angle of 45°, Adduction on the 
other hand was powerful and complete. 
The motion of the elbow permitted all the portion of the limb placed 
distally to the joint to be moderately extended. At the end of extension 
the elbow was distinctly angulated. At the end of flexion the forearm 
and hand are doubled up to the median side of the humerus. The termi- 
nal phalanx when the limb was at rest was strongly adducted, and a re- 
entering angle was formed between the median border of the first and the 
second phalanx. When the limb was flexed this angle was directed up- 
ward and outward; but when the limb was extended it was directed out- 
ward. From this circumstance it may be said that the flexion and ex- 
tension at the elbow-joint was accompanied with sub-rotation, 
Together with the primal or congenital defects numerous acquired ones 
were present, The most conspicuous of these was a lateral deviation of 
the vertebral column to the right, the result, probably, of the unantagon- 
ized traction of the muscles of the right side, and in part also to imperfect 
