. The American journal of roentgenology, radium therapy and nuclear medicine . line sexreversion and as something that should becarefully kept a dark secret from the restof the world. To obser\^e the improvementin their mental state, as they see the hairsdisappear, is ver>^ gratifying indeed. Even now I realize that the treatment isfar from ideal and should be reserved onlyfor cases where something must be done, andwhere there is no other possible method oftreatment. In such cases, in my opinion,the results not only justify the treatment,but it is our duty to employ it, togive the only poss
. The American journal of roentgenology, radium therapy and nuclear medicine . line sexreversion and as something that should becarefully kept a dark secret from the restof the world. To obser\^e the improvementin their mental state, as they see the hairsdisappear, is ver>^ gratifying indeed. Even now I realize that the treatment isfar from ideal and should be reserved onlyfor cases where something must be done, andwhere there is no other possible method oftreatment. In such cases, in my opinion,the results not only justify the treatment,but it is our duty to employ it, togive the only possible relief to a class ofpatients to whom this affliction is a greatburden. A CASE OF CONGENITAL DEFORMITY OF THE HANDS,SUPERNUMERARY TOES, AND ABSENCE OF TIBIi^ BY ARTHUR J. DAVIDSON, Assistant Professor of Orthopedic Surgery, Jefferson Medical College; Assistant OrthopedicSurgeon, Jefferson Hospital; Orthopedic Surgeon, Jewish Hospital. PHILADELPHIA, PA. THE following interesting and unusualcase illustrates, in the same indi-vidual, three distinct types of congenita^. Fig. I. Showinx. Five Fingers ox each Haxd—xoThumbs. deformity of perverted development; viz.:malformation of parts, absence of parts,and supernumerary parts. The child, R. F., a boy, was born onDecember 24, 1913. Was a full termbaby, normal birth. He is the sixth ofseven children, having four sisters andtwo brothers all of normal developmentand good health. There is no history of any deformityin any member of the family on either thematernal or paternal side as far back ascan be traced. The father and motherare normal, healthy country people, thefather being thirty-seven years and themother thirty-six years old when the babywas born. The child was brought to the Ortho-pedic Department of Jefferson MedicalCollege Hospital in April, 1916, at whichtime he was slightly over two years ofage. He is a bright well-nourished child;has never had any illness except chicken-
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