Hypothesis 1 Ð Congenital Abnormality

In this situation, a congenital abnormality is certainly a possibilty, although it seems less 
likely because we have evidence of trauma during the difficult birth.  Many types of 
congenital abnormalities can occur, such as angular limb deformities, which are due to 
laxity of the periarticular supporting structures or incomplete ossification of the 
carpal/tarsal bones, or assymetric growth of the metaphyses/epiphyses. In this case the 
tight bands of tissue connecting the raised toes with the tissue on the dorsum of the foot 
could be the result of a congenital tendon deformity that does not allow proper extension 
of the leg.