ge of Surgeons in London.

Curling quotes a most peculiar instance of hypertrophy of the fingers
in a sickly girl. The middle and ring fingers of the right hand were of
unusual size, the middle finger measuring 5 1/2 inches in length four
inches in circumference. On the left hand the thumb and middle fingers
were hypertrophied and the index finger was as long as the middle one
of the right hand. The middle finger had a lateral curvature outward,
due to a displacement of the extensor tendon. This affection resembled
acromegaly. Curling cites similar cases, one in a Spanish gentleman,
Governor of Luzon, in the Philippine Islands, in 1850, who had an
extraordinary middle finger, which he concealed by carrying it in the
breast of his coat.

Hutchinson exhibited a photograph showing the absence of the radius and
thumb, with shortening of the forearm. Conditions more or less
approaching this had occurred in several members of the same family. In
some they were associated with defects of development in the lower
extremities also.

The varieties of club-foot--talipes varus, valgus, equinus,
equino-varus, etc.--are so well known that they will be passed with
mention only of a few persons who have been noted for their activity
despite their deformity. Tyrtee, Parini, Byron, and Scott are among the
poets who were club-footed; some writers say that Shakespeare suffered
in a slight degree from this deformity. Agesilas, Genserie, Robert II,
Duke of Normandy, Henry II, Emperor of the West, Otto II, Duke of
Brunswick, Charles II, King of Naples, and Tamerlane were victims of
deformed feet. Mlle. Valliere, the mistress of Louis XIV, was supposed
to have both club-foot and hip-disease. Genu valgum and genu varum are
ordinary deformities and quite common in all classes.

Transpositions of the character of the vertebrae are sometimes seen. In
man the lumbar vertebrae have sometimes assumed the character of the
sacral vertebrae, the sacral vertebrae presenting the aspect of lumbar
vertebrae, etc. It is quite common to see the first lumbar vertebra
presenting certain characteristics of the dorsal.

Numerical anomalies of the vertebrae are quite common, generally in the
lumbar and dorsal regions, being quite rare in the cervical, although
there have been instances of six or eight cervical vertebrae. In the
lower animals the vertebrae are prolonged into a tail, which, however,
is sometimes absent, particularly when hereditary influence