E. S., 3-year-old girl, a patient of Dr. O. T. Maynard's of Elyria, was referred to Dr. E. F. Cushing, who kindly referred her to me Oct. 10, 1905.
—The family history showed nothing of importance. The mother was well developed and healthy and had several other normal children. Pregnancy was normal. The birth ran smoothly, but at delivery Dr. Maynard noticed that the legs were in a peculiar position. The right one was flexed with the knee pointing outward in the normal way and the lower leg placed across the abdomen, but the left leg, instead of being in a position symmetrical to the right, had its thigh adducted into approximation with the right thigh. The knee was sharply flexed and the lower leg ran parallel to the lower leg of the right side, the foot being turned outward at the ankle. This position having been noted, the