These articles have quotations from film adaptations of J.R.R. Tolkien's novel The Lord of the Rings and related works: 1  The Lord of the Rings.  J.R.R. Tolkien's The Lord of the Rings (1978)
This causes a twisting on the tibia and changes its relationship to your kneecap. This can cause tracking problems as well. If your quadriceps or hamstring muscles are too tight, they also will affect the mechanics of the knee and lead to compensation patterns that cause pain.
When the leg is not perfectly straight, the weight-bearing access of the leg is not balanced and this can lead to ligament, cartilage, and meniscus problems in some patients. When planning treatment for injury to the knee one important consideration is the axial alignment of the leg. The truth is, many people have âmalalignmentâ of the lower extremity. For some people this does not lead to any significant problem.