16 Congenital Anomalies in a Native African Mace 
the defect, a point of some interest and one which I had not elicited in previous 
cases. 
Gobedi, male, aged 22 years, a Yao employed as a machila carrier in Zomba, 
exhibits the deformity in typical form well represented in the photograph 
(Plate V, (19)). 
The head of each humerus appears to be poorly developed and though move- 
ment at the shoulder joint is free, a certain amount of fine crepitus is elicited, 
such as was found in several of the other cases. 
The point of interest however is the fact that the maternal aunt is stated to 
have had the same congenital anomaly. 
The subject has no brothers or sisters and his own two young children are 
stated to be normals, his mother and father and more remote relations are not 
known to be affected. 
Besides these the following cases deserve mention. 
A boy was seen, 18 years of age, with a peculiar deformation of the hands, 
stated to be congenital; the fingers and thumb shewed considerable thickening 
about the 1st interphalangeal joints witli marked ulnar defiection ; the bridge of 
the nose was depressed, the lips very thick, and epicanthus present. There was 
also the penile deformity above mentioned, except for which I should have 
doubted the statement in regard to the congenital nature of the hand deformity 
(Fig. 11). 
Fig. 11. Boy aged 18. 
