Hypothesis 2 - Fracture complicated by scar tissue The lacerations to the dorsum of the leg, caused by the bandaging/casting, healed via granulation tissue and epithelialization. As the wound healed, the tissue would fibrose and contract over time causing extra stress on the dorsum of the leg. This contracture would lead to elevation of the toes. Infection to this area would further complicate the situation by thickening of the joint capsule which would lead to further elevation of the toes.