been recorded; thirdly, that it should disappear during complete muscular relaxation under chloroform, and in some cases at least this has not happened. For the present we must confess our inability to decide the question. In the majority of cases the tendon nodule hypothesis would explain the phenomenon; and the articular theory might be tenable in adolescent cases or where there is rheumatoid arthritis; but more direct evidence is required and closer observation should be directed to the effect of relaxation of groups of muscle by position, and of the muscular system generally by anæsthetics. The treatment must to some extent share in the uncertainty that attaches to the pathology. The safest and most hopeful measures appear to be a persevering use of passive movement, combined with massage. Surgical operation has been successful in two or three cases, but in others it has missed its mark and has probably left the patient in worse condition than before. SECTION II CONTRACTIONS OF THE TOES The whole of the morbid conditions described in connection with the fingers are probably represented in the toes, and the classification adopted in the former case may be applied with but slight modification to the latter. CONTRACTIONS DEPENDENT UPON PATHOLOGICAL LESIONS IN THE CUTANEOUS AND FASCIAL STRUCTURES. Lesions of the sole corresponding to Dupuytren’s disease in the hand are extremely rare, on account of the protection afforded by the shoe and the thickness of the plantar pad, and although cases have been mentioned by Mr. Adams and other surgeons, I believe none has yet been shown or discussed at any medical society. The following example deserves record: