Miserable Malalignment Characteristics?

[Nova783]

Hi! I wanted to know about the characteristics of miserable malalignment. I have been searching around in this forum recently to try and find direct characteristics and symptoms of miserable malalignment to see if it matches with me before I go for a consultation with a doctor since I am having a bit of a hard time identifying my exact pain and symptoms in detail. Is there any way to visualize miserable malalignment before a CT Scan? My knees point in when I point my feet straight, and when my feet are pointed out (how I normally stand) my knees point straight. Is this a concrete way of knowing if you have miserable malalignment? Also, is that a characteristic of only external tibial torsion, miserable malalignment, or both? I get bad hip pain, knee pain, and foot/ankle pain usually after being active. Sometimes I also get a sharp pain starting from my buttock down my leg (mostly after lying down), other times aching, gnawing, and/or grating pains in my thighs, and other times I feel tightness in my hips. Are those three things also characteristics or symptoms of miserable malalignment? Moreover, people have noted that I "wobble" while I walk, would that also be a characteristic of miserable malalignment? What are the definite characteristics of miserable malalignment? Thank you for reading, and I would be glad if you could help me!

[vickster]

There’s some info and links here
https://www.kneeguru.co.uk/KNEEnotes/knee-dictionary/miserable-malalignment

Really you need to find a specialist in rotational deformities for examination and X-rays / scans

[Nova783]

Hi Vickster.  I will be trying to find a specialist in rotational deformities near me. Thanks for the response!

[Tuggers1994]

Hello! You could look up Craig's test and the thigh foot angle test, you'll find both on youtube and you could have a go at doing them and seeing what sort of results you get. Obviously they won't be perfect done by the likes of you and me but they give you an idea.

My ortho isn't even going to bother with CT scans becuase these tests gave him a good enough idea. You really do need to see someone who knows about rotational deformities though. I've spent years trying to get help on the NHS and not one orthopaedic consultant, physio, podiatrist or GP picked it up despite my legs being visibly twisted. I figured out what was wrong with me about 5 years ago and still got nowhere even when I pointed out that things didn't line up!! eventually decided to see someone privately, got a diagnosis then went back to the NHS and now they are taking me seriously and I'm waiting for a date for tibial derotational osteotomies.

I've been diagnosed as having miserable malalignment but my femurs aren't twisted enough to warrant untwisting them and I'm hoping that by untwisting the tibias that will help my hips. I think some of it is becuase hips have a wider range of motion so they are better able to compensate than knees which only really move one way.