Abstract
The object of presenting this subject and report of a case is to place one of the rarest affections on record, and to draw from its history and treatment any deductions that may be of profit. It is to be regretted that so little has been accomplished, especially in rendering the club hands more useful. Unfortunately, the causes do not lie within the domain of surgery—they being manifested in utero. Whatever the cause may be, the results are practically the same; if it is due to a neurosis, but little can be hoped for in increasing the usefulness of the affected extremity. If, however, the nerves should not be affected, and the deformity due to an over- or under-developed bone, the greatest benefit usually ensues from some surgical procedure. There is a condition found in the congenital paralysis of the extensors of the forearm which does not exist in the
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