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Patellar tracking disorder means that 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. In a few people, it shifts toward the inside.
Your knee joint is a complex hinge that joins the two bones of the lower leg with the thighbone.
A problem with any of these parts in or around the knee can lead to patellar tracking disorder.
Patellar tracking disorder is usually caused by several problems combined, such as:
You are more likely to have patellar tracking disorder if you have any of the above problems and you are overweight, run, or play sports that require repeated jumping, knee bending, or squatting.
If you have a patellar tracking problem, you may have:
If your kneecap is completely dislocated, you may have severe pain and swelling. Your knee may look like a bone is out of place. And you may not be able to bend or straighten the knee. If you have these symptoms, be sure to see your doctor. A dislocated kneecap needs to be put back in place by a doctor right away.
It can be hard to tell the difference between patellar tracking disorder and some other knee problems. To find out what problem you have, your doctor will:
You may have an X-ray so your doctor can check the position and condition of your knee bones. If more information is needed, you may have an MRI.
Patellar tracking disorder can be a frustrating problem, but be patient. Most people feel better after a few months of treatment. As a rule, the longer you have had this problem, the longer it will take to get better.
Treatment of patellar tracking disorder has two goals: to reduce your pain and to strengthen the muscles around your kneecap to help it stay in place. If you don't have severe pain or other signs of a dislocated kneecap, you can try home treatment for a week or two to see if it will reduce your pain.
As your knee pain starts to decrease, do exercises to increase strength and flexibility in your leg and hip. Your doctor or a physical therapist can help you plan an exercise program that fits your condition. You will probably start with one or two exercises and add others over time. Make sure to closely follow the instructions you're given.
Your doctor or physical therapist may also suggest that you:
Most people with patellar tracking disorder can slowly return to their previous activity level if they:
Surgery usually isn't needed for patellar tracking disorder. You may need surgery if your kneecap dislocates after other treatments haven't worked. There are several types of surgery that can correct a tracking problem. You and your doctor can decide which surgery is best for you.
You can take steps to prevent patellar tracking disorder.
Other Works Consulted
Callaghan MJ, Selfe J (2012). Patellar taping for patellofemoral pain syndrome in adults. Cochrane Database of Systematic Reviews (4).
Earl JE, Vetter CS (2007). Patellofemoral pain. Physical Medicine and Rehabilitation Clinics of North America, 18(2007): 439-458.
Grudziak JS, Musahl V (2007). The youth athlete. In PJ McMahon, ed., Current Diagnosis and Treatment in Sports Medicine, pp. 194-256. New York: McGraw-Hill.
Joseph RL, et al. (2015). Patellofemoral syndrome. In WR Frontera et al., eds., Essentials of Physical Medicine and Rehabilitation, 3rd ed., pp. 384-388. Philadelphia: Saunders.
Kaplan L, et al. (2007). Patellar maltracking section of Knee injuries. In PJ McMahon, ed., Current Diagnosis and Treatment in Sports Medicine, pp. 92-95. New York: McGraw-Hill.
Rauh MA, Parker RD (2010). Patellar and quadriceps tendinopathies and ruptures. In JC DeLee et al., eds., DeLee and Drez's Orthopaedic Sports Medicine: Principles and Practice, 3rd ed., vol. 2, pp. 1513-1525. Philadelphia: Saunders Elsevier.
ByHealthwise StaffPrimary Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency MedicineKathleen Romito, MD - Family MedicineE. Gregory Thompson, MD - Internal MedicineAdam Husney, MD - Family MedicineSpecialist Medical ReviewerPatrick J. McMahon, MD - Orthopedic Surgery, Sports Medicine
Current as ofNovember 29, 2017
Current as of:
November 29, 2017
William H. Blahd, Jr., MD, FACEP - Emergency Medicine
& Kathleen Romito, MD - Family Medicine & E. Gregory Thompson, MD - Internal Medicine & Adam Husney, MD - Family Medicine & Patrick J. McMahon, MD - Orthopedic Surgery, Sports Medicine
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