of Fingers and Toes, and of the Phalanges, in Man. 8d 
sixth toe on the outer side of each foot. That on the right foot, 
being loosely attached, was removed by the surgeon a fortnight 
after birth, and the cicatrix is visible. The sixth toe on the left 
foot is fully equal in size to the fifth, and is supported on the fifth 
metatarsal bone. The hands are normal. 
(6.) The elder brother, J O , et. 19, has six fingers on 
each hand and six toes on each foot. The additional digits are 
placed on the outer side of the limb. Figs. 1 and 2 are taken from 
photographs of the hands and feet. Hach sixth finger diverges 
considerably, reaches to a little beyond the joint between the proxi- 
mal and middle phalanges of the fifth finger, and contains two 
phalanges, the proximal 14, the distal $ inch in length, the distal 
phalanx being somewhat longer on the left hand. The fifth and 
sixth fingers rest on one metacarpal bone, which broadens consider- 
ably in its distal third, where it is first grooved and then deeply 
notched, so that the bifurcated ends are as wide apart as the other 
knuckles. The left sixth finger looks shorter than the right, owing 
to the metacarpal head which supports it being farther back. ‘The 
other fingers have the usual proportionate length. Hach sixth 
finger moves with strength and quite as independently as the other 
fingers, without the others being held, and there is no tendency to 
move the fifth when he moves the sixth, The flexor and extensor 
tendons are, therefore, separate up to the muscles, 
The sixth toe is well formed on each foot, lying parallel in the 
series. The fifth is of normal size, and the sixth rather larger 
than it, although, from commencing farther back, it does not pro- 
ject so much as the fifth. The fifth metatarsal broadens and then 
bifurcates to support the fifth and sixth toes, the bifurcation being 
greatest on the right side. Although it is not very easy to make 
this out, the sixth toe appears to have only two phalanges on 
each foot. The fifth and sixth toes are slightly webbed, but less 
so than the second and third, which are, as is common, webbed for 
4 to 4 of an inch. 
(c.) The younger brother, C O——, et. 10, was born with 
twenty-four digits, like his brother. The toes, as seen in fig. 3, 
- also from a photograph, exactly resemble those of the elder brother 
(fig. 2), making allowance for the latter having corns. I can make 
out three phalanges in all the lesser toes except the sixth, which 
appears to have but two. The fifth metatarsal bones bifurcate as in 
the brother. The sixth fingers projected outwards so inconveniently, 
that they were removed, together with their supporting head of the 
bifurcated fifth metacarpal bone, three years ago by Dr Smith, and 
a cicatrix and slight bony eminence remain. On examination of 
one of the removed fingers I find it to contain two phalanges, which 
appear to be entirely destitute of flexor tendons, the proximal 
phalanx alone having an extensor tendon. 
History of the O Family—The father and mother have the 
fingers and toes normal, and the variety was previously unknown 
in the family on either side. Both grandmothers were present at 
the birth of the daughter, the first child which presented the 
