Common malaligments in Lower extremities

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Malaligment

Correlated Motion or Posture

Compensatory motion and postur

Genu valgum

pes planus, excessive subtalar pronation, lateral tibial torsion, Lateral patteral sublox., excessive hip adduction, ipsilateral hip med. rot, lumbar spine contralateral rotation

forefoot varus, excessive subtalr supination, in-toeing, ipsilateral pelvic lateral rotation

Geny Varum

Tibia varum, medial tibial torsion, excessive hip abduction, ipsilateral hip lateral rotation

Forefoot valgus, excessive aubtalar pronation, ipsilateral pelvic medial rotation

geny recurvatum

anterior pelvic tilt, ankle plantar flexion

posterior pelvic tilt, flexed trunk posture, excessive thoracic kyphosis

lateral tibial torsion

out-toeing, subtalr supination

functional forefoor varus, excessive subtaler pronation

medial tibial torsion

in-toeing, metatarsus adductus, subtaler pronation

functional forefoot valgus, excessive subtaler supination

Excessive Anterversion

toeing-in, subtaler pronation, lateral patellar subluxation, Medial tibial and femoral torsion "squinting patella"

lateral tibial torsion, lateral rotstion at knee, lateral rotation of femur, tibia, pelvis, lumbar rotation on same side

Excessive retroversion

toeing-out, subtaler supination, lateral tibial torsion, lateral femoral torsion

medial rotation at knee, medial rotation at femur, tibia, or pelvis, lumbar rotation on opposite side

Coxa vara

pronated subtaler joint, medial rotation of leg, short ipsilateral leg, anterior pelvic rotation,

ipsilateral subtale supination,contralateral subtaler pronation, ipsilateral plantar flexion, contralat. genu recurvatum, contalt hip and kee flexion, ipsilateral posterior pelvic tilt and lumbar rotation

Coxa Valga

supinated subtaler joint, lateral rotation of leg, long ipsilateral leg, posterior pelvic tilt

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