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.
An examination of the knee is done, including the patella to find out the source of your pain and to find the position of your patella. You may be examined standing, sitting and lying down. Muscle strength will also be tested for muscle imbalance that can affect tracking of the patella. very common knee problem is when the patella moves as the knee bends or straightens. This happens because of a muscle or structural imbalance. Normally the patella moves along a path controlled by the quadriceps muscle.