Patellar Tracking Disorder: What Increases Your Risk


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What Increases Your Risk


Some risk factors for patellar tracking disorder are beyond your control. Others, such as having weak quadriceps, you can change.

Risk factors that you cannot change

  • Family history of knee problems.
  • Knee abnormalities, such as knock-knees or an excessively long patellar tendon that allows the patella to slide too high on the knee joint (patella alta).
  • A growth spurt, as is typical in teenagers.
  • A poorly healed injury of the hip, leg, knee, or foot.
  • Previous kneecap dislocation.
  • Previous knee surgery.
  • Generalized ligamentous laxity, or "loose-jointedness."

Risk factors that you can avoid or change

  • Weak thigh muscles (quadriceps).
  • The outer part of your thigh muscle is stronger or contracts quicker than the inner thigh muscle.
  • Tight ligaments, tendons, and muscles.
  • Excessive body weight.
  • Running, particularly on hills.
  • Playing sports that require repeated jumping, knee bending, or squatting.
  • Improper footwear.
  • Improper athletic training or technique.


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Last updated: February 14, 2008
Author: Shannon Erstad, MBA/MPH
Reviewed By: Adam Husney, MD - Family Medicine, Kenneth J. Koval, MD - Orthopedic Surgery, Orthopedic Trauma
Editors: Kathleen M. Ariss, MS, Pat Truman, MATC

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