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.
Clicking in knees may also occur after knee surgeries, because the muscles surrounding the knee are not as strong as before due to bedrest. This difference in muscle strength may cause misalignment issues that cause knee clicking. Luckily, this typically goes away as knee strength returns.