Miserable Malalignment Syndrome

Miserable Malalignment Syndrome

Miserable Malalignment Syndrome is a term used to describe a set of anatomical changes to the legs that cause knee pain and instability. The most common change being the internal rotation of the femur (thigh bone), this rotation usually occurs at the distal end where the femur forms the knee joint. Secondly is an inward facing patella (kneecap), which is referred to as a “winking patella”.   The lower leg (tibia and fibula) rotate outward and then the feet are flat.


Dramatic changes like these affect the position, movement and function of the knee joint drastically. Pain and discomfort is commonplace with this condition as well as putting the person at great risk for ongoing patellar joint dislocation and increased risk of arthritic change to the joint. This misalignment creates uneven pressures on the knee joint causing damage to the underlying articulate cartilage. This condition can occur in