In the first case, as can easily be imagined or even artificially demonstrated, there would be possible only a lower or higher situation or an obliquity affecting mostly the marginal portion of the division. The results would be low or high sagittal sutures, and curved or oblique sutures diverging from the parietal eminence,—effects entirely different from the actually observed oblique sutures that sever the lower portion of the parietal, or its mastoid angle.

Influences interfering with the free development of the anterior or posterior border of the parietal bone could only deflect upwards or downwards the marginal end of an incomplete parietal suture, or, at most, in a case of a short suture, render it oblique or curved in its entirety. No pathological condition, unless it were accompanied by a fracture, could extend even a deflected antero-posterior incomplete division to any of the borders of the bone.

There are, it seems to me, only three possible ways in which an oblique suture, extending between any two borders of the parietal bone, can be produced.

In the first case the oblique suture, or rather a suture-like formation, may be the effect of an early fracture. A fracture produced in adult life is generally recognizable as such; but a fracture dating from earlier stages of life, produced before the growth of the bone has ceased, may, if not entirely obliterated, present more or less the characteristics of a suture. I have seen several skulls where a division in the parietal bone or the temporal squama presented at the same time features of a fracture and suture; in one or two of these cases so much so, that it was and still is impossible for me to decide exactly which of the two conditions I had before me. Gruber describes one such case [12] as an instance of an oblique parietal suture, while Hyrtl and Ranke both consider this case as one with an acquired division. To differentiate a congenital real oblique suture from a division which is the result of a fracture, we must be guided largely by the situation, form, and serration of the division, and the condition of the surrounding bones, especially that of the opposite parietal. A straight course, ending with one extremity in or near the middle of the anterior or posterior border of the parietal, a complex serration, no continuity of the division on the neighboring bones, and particularly a co-existence of an allied or similar division on the opposite parietal,—all favor the conclusion that the division under consideration is a real congenital suture, and not the result of a fracture.

In the second case there are reasons for believing that an oblique suture of the parietal bone can originate in the same way as the horizontal one, namely, through a persistence of the original separation between the two centres from which the bone is developed, and a co-existent difference in the relative position or the relative growth of the two centres. It is in this connection that the above-described division in the parietals of the chimpanzee will prove of value.

The occasional persistence of the separation between the two original segments of the parietal bone is sufficiently demonstrated by the presence of the complete horizontal parietal suture. Differences in the relative position of these segments can be observed in a limited degree in Ranke's illustrations of embryos, before referred to; it can be deduced from such cases as the two of Hyrtl, [13] in which the division of the parietal was directed from the upper portion of the anterior to the lower portion of the posterior border of the bone. The most pronounced change in the position of these centres may be witnessed in cases where the parietal bone shows a perfect vertical instead of a horizontal suture. Such cases have been referred to before, and I presented at the meeting of the Association of American Anatomists, in 1899, several such examples, found by me in skulls of monkeys in Professor Huntington's anatomical collection in the Medical Department of Columbia University. One of these specimens is shown in the accompanying illustration ([Fig. 5]).

A difference in the relative growth of the two centres of the parietal bone is well shown in the difference of size between the inferior and superior portions of the parietal in cases of the complete horizontal suture in the same. In the majority of such cases on record the superior portion is larger, particularly anteriorly, than the inferior; so much so, that that condition seems to be the typical one. The difference in the size of the two portions of the parietal, and in their relative anterior and posterior height, is most pronounced in one of Gruber's cases, [14] where the "parietal suture" begins only 10 mm. above the pterion, and ends 40 mm. above the asterion. In Dorsey's case [15] the lower portion of the divided parietal is 12 mm. higher than the upper. The same condition as is found in Gruber's case, here mentioned, exists in the almost identical left division of the second case of Putnam, of which I have a photograph in my hands. A somewhat similar excess of the posterior over the anterior part of the lower severed portion of the parietal can also be seen in the illustrations of the cases of Tarin, Lucae, and Turner (Admiralty Islands skull). In Calori's interesting case [16] there is a decided excess of the lower portion of the divided parietal in its posterior portion on the left and in its anterior portion on the right side.

Fig. 5. Macacus rhesus (Medical Department, Columbia University), showing a Complete Division of the Right Parietal Bone in a Vertical Direction.