T. Lewis and D. Embleton 
31 
Right foot. There are the usual inner and outer toes separated by a deep cleft. The outer 
metatarsal misses one phalanx, and those of the inner are united. At the bottom of the cleft 
is one piece of bone presumably the welded bases of the 2nd and 3rd metatarsals. The broad 
base of the 5th metatarsal indicates a fusion of it with the base of the 4th. 
Left foot, Fig. 16. There are two toes only. The outer hats an enormously thickened 
metatarsal articulating with the whole anterior surface of the cul)oid. It bears three phalanges 
of which the last two are united. The inner metatarsal is also thick and bears two miited 
phalanges. Its base articulates with the inner and middle cuneiforms. To the outer side of 
the cleft is a small piece of bone presumably the base of the 3rd metatarsal. 
(IV, 20-22.) G. G., A. H. G., and Al. H. G. (born 18G2, 1863 and 186.5), arc mentioned by 
Anderson, and our account confirms his ; the three children died in childhood. No details 
of the deformity of A. H. G. ai-e obtainable. 
(IV, 23.) E. G. (approx. 18G7, living, widower). Right handed. Skiagrams of all extremities. 
Right hand, Fig. 23. All the metacarpals are jiresent, the distal end of the 2nd is thin. 
The 1st, 4th and 5th have complete j^halanges. The 3rd has a short 1st phalanx. The 
phalanges of the outer three fingers are united by skin. 
Left hand, Fig. 22. This is similar except that the 2nd metacarpal is more fully developed. 
Right foot. It is not possible to identify all the bones. On the inner side of the cleft 
is a large metatarsal (the 1st) bearing two i^halanges. On the outer side two very heavy 
metatarsals occupying the articulatory positions of the 3rd, 4th and 5th. From the inner of 
these two, which articulate at their ends, springs a set of three phalanges. 
Left foot. This is precisely sirailai'. 
(IV, 25.) I. G. (approx. 1869, living, married). Right handed. Screening of all four 
extremities. 
Right hand. A small portion of the base of the 1st metacarpal is present. The other four 
are perfect. The 3rd bears the base of a 1st phalanx. The 4th bears the greater part of 
a 1st phalanx. The 5th has two complete phalanges, which are united to that of the 4th 
by skin. 
Left hand. The thumb is not represented. The other metacarpals are perfect. The 3rd 
has the proximal half of the 1st phalanx. On the 4th is one and on the 5th two complete 
phalanges. 
Right foot. Only two toes are present. The inner is composed of the complete 1st digit 
with the remains of the metatarsal of the 2nd united to its base. The outer toe consists of the 
complete 5th digit and the 4tli metatarsal and its single Ist phalanx. A deep cleft runs as usual 
between the two toes and disturbs the arrangement of the tarsus. There is a piece of bone 
united to the base of the 4th metatarsal which appears to be the base of the 3rd metatai'sal. 
Left foot. There are two toes only. The inner composed of the complete 1st digit having its 
phalanges united ; the outer consisting of a complete 5th digit, the bones of which are much 
thickened. Between the 5th metatarsal and the usual cleft lies a compound bone composed 
apparently of the 4th metatarsal united with its 1st phalanx and the base of the 3rd meta- 
tarsal. There is derangement of the tarsus but the base of the 2nd metatarsal appears to be 
represented. 
(IV, 30.) The son (IV, 31) of M. P. (Ill, 7) states that there was a miscarriage before 
he was born, but no information as to whether it had any deformity is obtainable. 
(IV, 31.) E. P. (approx. 1872, living and about to marry). Right handed. All four 
extremities screened. 
