╨╧рб▒с>■  &(■   %                                                                                                                                                                                                                                                                                                                                                                                                                                                ье┴ ┐ jbjbjкjк ╚╚      ]ввввввв╥╥╥╥╥ ▐ ╥╙ъЎЎЎЎЎЎЎЎРТТТТТТ,╜Ї▒Ё╛вЎЎЎЎЎ╛юввЎЎЎюююЎ▓вЎвЎР╢─ввввЎРювюРввРъ X║°╢╥╥иFРHypothesis 1- Abnormal pressure on the physis resulting in a valgus deformity Due to the fact that the calf was a dystocia and was force extracted with obstetrical chains, a metacarpal fracture was the result. The physis could have been initially disrupted by the chains at this point. Another possibility is that the fracture caused an abnormal pressure/compression on the physis. A disrupted physis could have lead to the valgus deformity in two ways. First, if the compression was within a pysiologic range on the medial side, the compression would result in an accelerated chrondral growth on the medial side leading to a valgus deformity. Next, if the compression was excessive (pathologic) on the lateral side, the chrondral growth on that side would have been markedly decreased also resulting in a valgus deformity. It is important to consider the fact that a combination of both of these hypotheses could have resulted in the valgus deformity. The infection could be explained by the fact that when the calf was force extracted with obstetrical chains the skin was broken which became a portal of entry for bacteria. The obstetrical chains could have damaged the digital extensor tendons resulting in fibrosis leading to contraction which would result in the pointing of the toe.  NO┐n   ¤¤¤¤¤¤¤NO╘ !AiВФ┐n   ■■■■■■■■■■■░╨/ ░р=!░"░#Ра$Ра%░ [4@ё 4NormalCJOJPJQJmH <A@Є б<Default Paragraph Font          '-=Ct|╪▐AIzАОФм▓ё√ENv|╓▀+1м▓╪AAfuфчМС   Math Emporium?Macintosh HD:Desktop Folder:Student's Folder:5hypothesis1_A.txt @АAA№>╪AAУ~╟СP@GРTimes New Roman5РАSymbol3Р Arial3РTimes"1И╨hRTFYRTF:!е└┤┤А0d╨  IHypothesis 1- Abnormal pressure on physis resulting in a valgus deformity Math Emporium Math Emporium■  рЕЯЄ∙OhлС+'│┘0иИРфЁ$ <H d p |ИРШа'JHypothesis 1- Abnormal pressure on physis resulting in a valgus deformity ypoMath EmporiumAbathNormalpMath EmporiumAb3thMicrosoft Word 8.0m@▄=@№Мf╣┴└@Од┴┴└■  ╒═╒Ь.УЧ+,∙о0< hpИРШа и░╕└ ╚ 'Virginia Tech1м JHypothesis 1- Abnormal pressure on physis resulting in a valgus deformity Title ■   ■   ■    !"#$■   ¤   '■   ■   ■                                                                                                                                                                                                                                                                                                                                                           Root Entry         └F\╢7а┴└)А1Table         WordDocument        SummaryInformation(    DocumentSummaryInformation8            CompObj            X                        ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           ■      └FMicrosoft Word Document■   NB6WWord.Document.8