There are a number of potential causes of Hornerâs syndrome, each affecting a different place in the sympathetic chain: 1  First order neuron lesion: brainstem stroke. 2  Second order neuron lesion: apical lung tumor, neck trauma, other. 3  Third order neuron lesion: orbital trauma or inflammation, carotid dissection, other.
In very severe cases where the patella keeps dislocating, the attachment of the patellar tendon may also have to be moved. Once the surgery heals, the patella will track up and down in the patellar groove, reducing pressure on the articular cartilage. 1  Knee Pain: Symptoms, Causes, and Treatments.
When things are in the groove, they're going smoothly. That certainly is the case with your knee. As long as your kneecap (patella) stays in its groove in the knee, you can walk, run, sit, stand, and move easily. When the kneecap slips out of the groove, problems and pain often result.Causes. The kneecap connects the muscles in the front of the thigh to the shinbone (tibia).As you bend or straighten your leg, the kneecap is pulled up or down. The thighbone (femur) has a V-shaped notch (femoral groove) at one end to accommodate the moving kneecap. In a normal knee, the kneecap fits nicely in the groove.s you bend or straighten your leg, the kneecap is pulled up or down. The thighbone (femur) has a V-shaped notch (femoral groove) at one end to accommodate the moving kneecap. In a normal knee, the kneecap fits nicely in the groove.