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  1. Oct 11, 2023 · The term miserable malalignment syndrome (MMS) relates to combined excessive proximal femoral anteversion (PFA) and external tibial torsion (ETT) [3–8]. The rotation effect has been associated with knee pain and symptoms due to increased patellofemoral contact pressures [ 9 – 11 ].

  2. Jan 18, 2018 · The typical “miserable malalignment syndrome” refers to the combination of internal rotation or antetorsion of the femur, “squinting” patellae which is due to femoral anteversion causing the patellae to point inwards, proximal tibial varus/external rotation, knee valgus and pes planus.

  3. Mar 11, 2024 · "miserable malalignment syndrome" a term named for the 3 anatomic characteristics that lead to an increased Q angle. femoral anteversion. genu valgum. external tibial torsion / pronated feet. anatomical factors.

  4. Mar 2, 2020 · This type of complex case is called "tetra-torsional malalignment,” which has sometimes also been called "miserable malalignment syndrome." It can be hard to diagnose because: The two opposite rotations of the femur and tibia leave the patient's feet to stay parallel during walking, This means the malalignment of the hips and knees may go ...

  5. Miserable malalignment is a specific combination of rotational deformities in the leg that may lead to patellar (kneecap) pain and instability. Page updated April 2024 by Dr Sheila Strover (Clinical Editor) A view from above showing the deformity. What is miserable malalignment? Symptoms associated with torsional deformity affecting the knee.

  6. Aug 3, 2023 · Also known as: miserable malalignment syndrome, knee malalignment syndrome. What is malalignment syndrome? When the bones, muscles and tendons that make up a joint become misaligned due to an injury or other causes, this can lead to malalignment syndrome. This occurs commonly in the knees but can also impact other areas of the body.

  7. Nov 6, 2015 · To recap, MMS involves a series of interrelated biomechanical dysfunctions throughout the lower extremity kinetic chain including: a broad pelvis, a large Q angle, femoral anteversion along with a squinting patella, genu valgum (knock knees), and excessive pronation with internal tibial rotation.

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