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digit ofthe right hand, appears to be represented by a rudimentaryphalanx forced down between the heads of the second and thirdmetacarpal bones. The feet, however, show suppression of toes, and suggest atwo-toed type. The picture of the right foot is indistinct owingto trembling of that member during the exposure. It is interest-ing to note that the other foot and the hands were not affectedin a similar way, but were perfectly steady—a fact which maypossibly point to some nerve instability or other local peculiarity. The two
Figures 78 and 80 are from a girl of twelve underMr. Eeeves at the Eoyal Orthopaedic Hospital. The thumbs areabsent in both hands—a rare congenital deficiency. In
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Dr. Walsh. Fig. 78.—Mr. Reeves Case—Thumbless Right Hand of
Patient in Fig. 80. 13 MEDICAL AND SURGICAL APPLICATIONS 159 subject. The hands appear to be wanting in fingers, but theradiogram shows that it is really a case of polydactylism, withsupernumerary thumb. One of the missing fingers,, the
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Fig. 77.—A Normal Foot bent strongly downwards.Compare with preceding figure. The writer appends an interesting example of polydactylism.The case was kindly placed at his disposal by Dr. Milne, themedical officer of Dr. Barnardos Home in London (Figs. 81and 82). The hands and feet in these
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