T. Lewis and D. Embleton 
35 
The middle cuneiform appears to be absent, while the external seems to be welded to the 
cuboid. 
Left foot, Figs. 5 and 8. This is similar, but the base of the 4th metatarsal is welded to 
that of the 5th. 
(V, 42.) J. T. G. (1892, living). Right handed. Skiagra^jhy of all extremities. 
Right hand, Fig. 19. The thumb is not represented. The four outer metacarpals are 
present, the 2nd being thin. The 4th and 5th have complete sets of phalanges. A cross- 
bone proceeds from the metacarpo-phalangcal joint of the 4th finger to the head of the 3rd 
metacarpal. 
Left hand. Fig. 18. The five metacarpals are present. The 1st has one short i)lialanx. 
The 2nd none. The 3rd a half i)halanx, re[)lacing the cross-bone of the opposite side. The 4th 
and 5th have complete phalanges, syndactylised by skin. 
Right foot. Fig. 25. All the metatarsal bones with the exception of the 2nd are present, 
the 2nd is replaced by the cleft. The 1st metatarsal bears two phalanges. The 4th and 5th 
have a common set. 
Left foot, Fig. 24. To the inner side of the cleft lies a complete 1st toe. The 2nd is 
entirely replaced by the cleft. The base of the 3rd is welded to the 4th, and scarcely appears. 
The 4th is complete and has an irregular phalanx. The 5th has a complete set of phalanges. 
(V, 45.) L. V. G. (1897, living). Right handed. Skiagrams of all extremities. 
Right hand. Fig. 14. The thumb is not represented. The 2nd metacarpal has no distal 
epiphysis. The 4th and 5th have complete phalanges which show skin syndactyly. A cross- 
bone runs from the 4th metacarpo-phalangeal joint to the head of the 3rd comiilete metacarpal. 
Left hand. This is similar but the 1st metacarpal has a short representative. 
Right foot, Fig. 21. The cleft occupies the position of the 2nd metatarsal and the middle 
cuneiform, which are absent. The 1st toe is complete. The 3rd toe is not represented. The 
proximal half of the 4th metatarsal is present, and the 5th toe is complete. 
Left foot. Fig. 20. The cleft occupies the same position. On its inner side is a complete 
1st toe. On its outer side are the base of the 3rd metatarsal, the whole 4th metatarsal and 
the complete 5th toe. 
(V, 46.) Miscarriage. The mother does not know if it was malformed. 
(V, 47.) K. G. (approx. 1901, living). Left handed. All extremities screened. 
Right hand. The 1st metacarpal has its base only, the others are normal. The 2nd and 3rd 
metacarpals bear each the base of a 1st phalanx. The 4th and 5th have complete phalanges 
which are syndactylised throughout by skin. 
Ijeft hand. The thumb is complete and has an extra phalanx. The 2nd finger has the 
metacarpal, 1st and part of the 2nd phalanx. The 3rd, 4th and 5th fingers have the normal 
complement of bones, those of the 4th and 5th being joined by skin. 
Right foot. Toes 1 and 5 are present, their bones which are complete are much thickened. 
Between the cleft and the outer toe is a mass of bone representing probably the base of the 4th 
metatarsal. The tarsus appears to be unaffected. 
Left foot. As usual there are two toes with a deep cleft between them. These are mainly 
composed of the thickened bones of the 1st and 5th digits. Between the cleft and the outer 
digit are the remaining three imperfectly developed metatarsals. 
(V, 48.) W. G. (approx. 1903, living). Right handed. All extremities screened. 
Right hand. The base of the 1st metacarpal is represented by a nodule only. The outer 
four metacarpals are normal. The 4th and 5th metacarpals bear complete sets of phalanges, 
syndactylised by skin. 
5—2 
