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Michigan Sports and Spine

Patellar Tracking Disorder

Patellar tracking disorder occurs when the kneecap (patella) shifts out of place as the leg bends or straightens. In most cases, the kneecap shifts too far toward the outside of the leg, although in a few people it shifts toward the inside.  Your knee joint is a complex hinge that joins the lower leg bones (tibia and fibula) with the thighbone (femur). The kneecap is held in place in the front of the knee joint by tendons on the top and bottom and by ligaments on the sides. A layer of cartilage lines the underside of the kneecap, helping it glide along the groove at the end of your thighbone.  The kneecap can shift or rotate off track if the groove is too shallow or if the cartilage is damaged. Ligaments, tendons, or muscles that are too loose or too tight may also lead to a misaligned kneecap.

Shape of the patella
Too tight/too loose muscles and tendons in the leg, foot, or hip areas
Damage to cartilage
Severe blow the inside of the knee

Discomfort or pain especially when going down stairs, sitting for prolonged periods of time, standing up from sitting or squatting
Popping, grinding, slipping, or catching sensation of the kneecap when bending/straightening the leg
Sensation that the knee is giving way

Physical examination and medical history consultation
CT scan

Rest from aggravating activities
Stretching and strengthening exercises
Physical therapy


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Our studies prove that MSSC has patient success rates much higher than the national average.

Innovative leaders utilizing cutting-edge technologies such as muskuloskeletal ultrasounds.

MSSC is committed to resolving your pain, not simply masking it. 

We treat everyone from high-profile athletes to your neighbor next door.