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Syndromes & Miserable Malalignment Syndrome
There
are a number of syndromes that attend the inactivity
that comes with MMS (miserable malalignment syndrome).
One of the more important is cardiometabolic syndrome.
The features of cardiometabolic syndrome include: Elevated
blood pressure, high trigylcerides, low HDL cholesterol,
abdominal obesity and impaired glucose metabolism. The
cardiometabolic syndrome has devastating potential costs
for society, as the cost of diabetes care is also
combined with the cost of cardiovascular events which
are seen with low HDL and high triglycerides (beyond the
CV risks seen just in the diabetic population). Researchers
at the University of Rochester and the CDC indicate that
2-9% of adolescents from the United States had
cardiometabolic syndrome between 1999 and 2002. The prevalence
of obesity in adolescents varied from 12.4%
to 44.2% (with the variation blamed on no one standard criteria
upon which to diagnose Syndrome X (as it is
called in some circles). The
symptoms of MMS (caused by femoral internal rotation,
external tibial rotation and forefoot pronation, and may
involve an increased "Q" angle of >20
degrees, genu valgum, patella alta, and generalized
ligamentous hyperlaxity) include compensatory internal
rotation of the femur to maintain coverage of the
femoral head with the hip acetabulum. It can also
include a discrepancy between the axis of the extensor
mechanism of the knee and that of the femur, resulting
in a lateral displacement of the patella with increased
quadriceps angle ("Q" angle). Patellofemoral
Pain Syndrome from the patella mistracking with internal
tibial rotation may result in proximal or distal
iliotibial band syndrome, patellar subluxation or
dislocation. The internal tibial rotation is a
compensation for foot pronation. Achilles tendonitis,
plantar fasciitis, posterior tibialis tendon strain and
dysfunction and strain of the medial ankle and foot can
follow. Excessive
pronation can also lead to bunions, hammertoes and
restricted motion at the first metatarsophalangeal joint
which can lead to osteoarthritis changes and pain. The
HyProCureŽ device works to prevent the excessive
pronation of the foot. This, in turn, affects the
internal tibial rotation, with the potential of
affecting the patellar mistracking and pain. |
