shortening could not be elicited. From the study of the skiagraph it seems to me to be improbable. Shortening of the healthy femur for the purpose of equalization was considered. The degree of functional disturbance ean, of course, not be estimated yet. Case 13 shows congenital hypertrophy of all toes, especially of the second, in a boy of four months. They appear very thick and puffy like in elephantiasis, but the skiagraphs show normal structures. (Fig. 10.) Case 14 shows congenital

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... n of both hips in a girl of 9 years. The cartilaginous epiphyses of the femurs are dislocated and the right femoral neck shows extraordinary bending. (Fig. 11.) Case 15 represents congenital absence of nasal bones and insufficient development of nasal processes of the superior maxilla in a boy of two months. The infant is poorly nourished. The parents came from Russia five years ago and are well. There are four healthy children besides. (Figs. 12 and 13 .) It may be noticed that none of these deformed children were born of American parents and that heredity could not be made responsible in any of them as an etiological factor.