386 
Hereditary Split-Foot or Lobster-Claw 
Herbert S. 
Hands 
Carpus. 
Metacarpals. 
Disrits. 
IV. 11 (P. P. III. 27). Farm labourer, unmarried 
Right 
Apparently normal. 
1st, 3rd, 4th and 5th present. 
Hands and feet deformed. 
Left 
Apparently normal. 
1st, 2nd (probably present but small 
and rudimentary), 3rd, 4th and 
5th fairly well developed. 
Thumb rudimentary, one small bone. 
Middle and ring fingers fused, one 
nail. Three phalanges to each. 
5th finger normal. 
Thumb, rudimentary, one small pha- 
lanx. 
Ring and 5th fingers united by thick 
fleshy web. Three phalanges to 
each. 
Feet. Show a deformity similar to Eliza S. (IV. 9). 
For photographs of hands and feet : see Plate XXVI, Figs, (ix) and (x). 
Wm. Wh. IV. 12 (P. P. III. 4). Dead, unmarried. Hands and feet said to have been 
deformed. Said to have had only the little finger and 5th toe present. 
Alfred Wh. IV. 13 (P. P. III. 5). Married. (Four normal children, V. 12—15.) Hands and 
feet said to be deformed. Hands said to be broad with 5th digit present on each and a thumb 
on right hand. Feet to have 5th toe only present. 
Chas. Wh. IV. 15 (P. P. III. 7). Married, whereabouts unknown (has three deformed 
children). Hands and feet in this case said to be affected ; in what manner not specified. 
Eliza Wh. (Mrs Sm.). IV. 17 (P. P. III. 9). Recently an inmate of Clay bury Asylum suffering 
from confusional insanity. Discharged recovered. Hands and feet deformed : has had three 
children, two male deformed and one female normal. One of the male children and the female 
child are dead. Stated when in asylum that she had had a fourth child with deformed hands 
and feet when sixteen years old, but statement doubtful. 
Hands 
Carpus. 
Bight 
Left 
Normal. 
Metacarpals. 
Dibits. 
1st very rudimentary. 
2nd badly developed. 
3rd, 4th and 5th normal. 
One, the 5th, alone present, shows 
ankylosis. 
All the bones appear to be present 
though the trapezium and trape- 
zoid are not well developed. 
3rd present, rudimentary. 
4th and 5th well developed but show- 
ing a measure of deformity. 
A small bone lies between the heads 
of the 4th and 5th metacarpals, 
possibly a rudimentary digit. 
The 5th digit present and badly 
developed. 
Feet. Tarsus. In the case of the feet the deformity is difficult to determine, both however 
show either absence or very imperfect development of the middle and external cuneiform bones. 
Metatarsals. The 1st and 5th alone are present in the left foot while the right shows these 
two bones, and also a rudimentary 4th metatarsal. 
Digits. 1st and 5th alone present, the number of bones in each is normal, but much deformity 
is shown, i.e. ankylosis, dislocations, etc. 
Skiagraphs, hands and feet, Plates XXIII— XXIV; photograph, Plate XXV, Fig. (v). 
Our best thanks are due to Dr Robert Jones of Claybury Asylum for acquainting us with the 
facts regarding this case, and providing a photograph and skiagraphs of the deformities. 
G. Wh. IV. 19 (P. P. III. 11). Normal, married, with eight normal children, V. 22—29 
(P. P. IV. 8—14, and one additional birth). 
