The book opens with a chapter on general considerations. Some of the subjects are not given so thoroughly as they might be in view of the added light which has been shed by the Roentgen ray in recent years. For example, the time of appearance of the various centers of ossification in the epiphysis is not stated with sufficient accuracy. An excellent discussion on general treatment is given, both nonoperative and operative, of recent and old simple and compound fractures. Fractures of the skull and face are illustrated by drawings, diagrams and photographs. In the chapter on the spinal column the symptomatology of fractures with cord symptoms at different levels is described and illustrated. Some of the fifteen rules for operative treatment are too finely drawn and somewhat confusing. The valuable ones are: Do not operate when there is complete transverse paralysis. Operate if later symptoms of returning function appear.