. The diseases of children : medical and surgical. Fig. 183.—Double Thumb. Fig. 184. — Intra-uterine Amputation of Fingers. into its proper position. Where a joint is common to the two fingers caremust be taken not to injure the articulation nor to allow it to suppurate, forfear of a stiff joint resulting. Supernumerary toes should be removed ifthey cause distortion of the foot or are likely to lead to trouble in wearingordinary boots. For figures and details of the different forms of polydactylism we mustrefer to Annandales work on Diseases of the Fingers and Toes. Occasionally cases are met


. The diseases of children : medical and surgical. Fig. 183.—Double Thumb. Fig. 184. — Intra-uterine Amputation of Fingers. into its proper position. Where a joint is common to the two fingers caremust be taken not to injure the articulation nor to allow it to suppurate, forfear of a stiff joint resulting. Supernumerary toes should be removed ifthey cause distortion of the foot or are likely to lead to trouble in wearingordinary boots. For figures and details of the different forms of polydactylism we mustrefer to Annandales work on Diseases of the Fingers and Toes. Occasionally cases are met with where more or less of a limb is deficient,and the member ends in a pointed or truncated extremity like an amputationstump ; this may occur at any point in the length of a limb. Sometimesonly parts of one or more digits are deficient, sometimes the amputation hasbeen incomplete, and a deep sulcus round the finger or limb, with often abulbous expansion on the distal side of it, marks the seat of pressure. Thisconstriction in some cases is


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