Tibiofemoral Rotation Syndrome with Valgus

Tibiofemoral Rotation Syndrome with Valgus


Your knee pain is associated with excessive rotation of the knee joint and the knee falling in during weightbearing activities.  Specifically, the tibia (shin) turns out and the femur (thigh) turns in.  Usually these symptoms occur when your knee is bent and you are putting weight on it – going up and down stairs, squatting, kneeling, lunging.

Risk Factors

The Sports Physiotherapist talks about an article indicating risk factors for developing patellofemoral pain syndrome and I believe this diagnosis would be one of the diagnoses that falls under patellofemoral pain syndrome.  The risk factors are:

  • Decreased knee extension strength
  • Decreased quadriceps and gastrocnemius flexibility
  • Increased navicular drop (your foot becomes a flat foot in standing, but isn’t when sitting)
  • Increased knee valgus during landing (this is the most important risk factor related to this specific diagnosis)
  • Decreased vertical jump performance


Pappas E, Wong-Tom WM. Prospective predictors of patellofemoral pain syndrome: A systematic review with meta-analysis. Sports Health: A Multidisciplinary Approach 2012 4: 115


  • Activate and strengthen the muscles that turn your femur out (external rotators) and pull it out (abductors).
  • Use those muscles during weightbearing activtities.  Correct your alignment and maintain it during weightbearing activities.
  • Identify tightness in and loosen up the IT Band (because it turns the tibia out and pulls the knee in).
  • Diagnose and treat other impairments that may contribute to this knee pain.

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