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.
Here are some possible causes: Your knee cap, or patella, could be tracking improperly in the groove of your femur. This condition is known as ârunnerâs knee.â Normally, your upper leg bone, femur, and your lower leg bone, tibia, and your patella slide along one other when bending your knee.