Abstract
L. M., a man, aged 22, first came under my observation in 1916 when he was a boy of 14. At that time his mother had just given birth to twins. There were several children in the family, all the others being normal. At that time nothing had ever been done to the hands, which were as shown in Figure 1. Function was good; the thumbs were normal. Pitted amputation scars were visible. Where there was syndactylism, it was complete, not mere webbing. The amputations were symmetrical, consisting of the two terminal phalanges of each finger. In August, 1916, a plastic operation was attempted. The amount of separation of the digits was increased noticeably (Fig. 2), and the patient has good use of them, even playing ball. It is interesting to note that I had a research bureau compile a bibliography of the coexistence of these conditions, and no American
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