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.
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.