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.
Sometimes this tissue can become trapped between parts of your knee while bending and cause clicking. Of these three possibilities the problem with your patella, runnerâs knee, is the most likely. In order to make sure your patella is tracking properly there are a few exercises that you can do.