of Fingers and Toes, and of the Phalanges, in Man. 101 
one would suspect from his gait any deficiency in the feet. He is 
5 feet 2 inches in height, healthy and active. 
Family history—He is one of a family numbering ten in all, 
who were born in the following order. First, a son, and then succes- 
sively three daughters, all normal. Fifth, a son, the first member 
of the family who presented the digital variety. Sixth and seventh 
twin girls, normal. Highth and ninth, twin boys, one normal, the 
other whose case is above described, ‘Tenth, a girl, with fingers and 
toes as in this boy, and, in addition, the feet turned in. Neither 
Dr Bell nor I have seen the brother and sister who have the variety, 
but the boy states that their fingers and toes are the same as his, 
the hands so like that when the arms are covered and the hands 
presented promiscuously, the mother cannot say to which brother 
they belong. The brother is a clerk and is said to write an excellent 
“hand.” We have no information as to the ancestors, but neither 
of the parents, uncles, aunts, or cousins, had or have any deformity. 
23. Case in which four Fingers of one Hand possess but one Phalanx 
each, the Thumb having two Phalanges. 
Dr Henderson of Fordoun sends me a note and sketch also of the 
case of A W , et. 33 years. The four outer digits of the 
left hand are short nipple-like processes containing one phalanx 
each, so loosely attached to the metacarpals that they can be easily 
twisted round. Hach has its little nail. The thumb contains two 
phalanges, is as large as that of the other hand, projects a long 
way beyond the fingers, and she makes great use of it. 
Her father has an aunt with two thumbs on the left hand, simi- 
lar to the case of H K (No. 8). 
24. Case in which the Fingers are formed so as to give the Hand 
a resemblance toa Foot. ~* 
I am indebted to Dr Grierson of Thornhill for the de- 
scription, and for sketches of the hand, of this case, a 
cast of which I had previously seen, obtained through Dr 
A. Mitchell and Dr A. Simpson. 
J M , et. 16, Dumfriesshire. The hand may be described, 
generally, as having a remarkable general resemblance to a foot, in 
the size and straight direction of the thumb, and the little develop- 
ment and outward lessening of the fingers. The sketch (fig. 5) 
will give a correct idea of the form of the hand. The thumb is the 
longest and thickest of the digits, and lies parallel to the fingers. 
It can be abducted, and only half crossed over the palm. It has 
two phalanges, besides the metacarpal bone. The distal end of the 
latter extends a little way beyond the separation between the thumb 
and next finger. The thumb alone hasanail. The next two fingers 
project for about an inch, the index more, the middle less. The 
ring and little fingers appear only as fleshy finger points. There 
is a bone projecting some way into the index and also into the 
