Fixed Internally and Externally rotated Hip

Fixed Internally and Externally rotated Hip

According to my Injury classification system, fixed Internal/External Hip syndromes with no other associated condition, is considered Level 1 Injury, as per the main dysfunction being found at the first Alignment protective layer. The internal and external hip dysfunction is influenced by the different types of misalignments of the pelvis and hip joints. This condition can predispose to a series of compensation patterns on the lower extremity eventually leading to several knee and foot related disorders.


 A fixed externally rotated hip increases the weight bearing at the inner side of the knee predisposing to medial meniscus problems and creating a torsion on the lower leg bone (tibia) eventually leading to ankle misalignment and the progression of flat foot.

A fixed internally rotated hip predisposes to varus knee deformity increasing the biomechanical stress on lateral side of the knee resulting in an early lateral meniscus degeneration and predisposing to inversion ankle sprains.



Clinical evaluation of the pelvic and hip alignment as well as visualizing the pattern of compensation presence on the lower extremity.

X-ray analyses

Anterior – Posterior (AP) pelvic/hip view is essential to evaluate the degree of misalignment involved in this deformity.


Treatment protocol

Specific adjustments to the pelvic and hip joints

Stretching and strengthening of specific hip muscle groups

Depending on the level of deformity and chronicity, minimum 6 weeks of care is advisable to resolve this condition.

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