RT Journal
A1 Anders HS
T1 COngenital deformities of hand.
JF Journal of the American Medical Association
JO Journal of the American Medical Association
YR 1899
FD April 1
VO XXXII
IS 13
SP 723
OP 723
DO 10.1001/jama.1899.02450400041020
UL http://dx.doi.org/10.1001/jama.1899.02450400041020
AB Philadelphia, Pa., March 21, 1899.To the Editor: 
    —Referring to Dr. F. R. Sherwood's very meritorious article in the Journal of March 11, on the above subject, I am constrained to contribute this brief record of an observation, made en passant as it were, which may possess some interest for the doctor, and for some other readers.It was several months ago that, while riding in a trolley-car, I saw sitting upon its mother's lap near by, a child apparently about three years of age, having five distinct fingers on each hand—no thumbs. In place of the latter there were two prehensile fingers having each three phalanges, and quite closely resembling the apposed forefingers respectively, in size, shape, length, and mobility. The finger-thumbs seemed to serve the hands with as much freedom of motion, prehension and adaptability as ordinary thumbs, as I could unmistakably detect while in a sufficiently favorable