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The large vastus lateralis is active throughout the full range of knee extension but the smaller VMO muscle is active mainly in the last 30° of extension. The patella itself articulates with the distal femur (thigh bone) within the knee. The articulation between the patella and the distal femur is known as the patellofemoral joint. The articular surface of the patellar is shaped nutrients like the keel of a boat. nutrients This allows it to glide in the femoral groove, or 'knuckle' of the distal femur. Imprecise movements between the patella and the femur cause many cases of anterior nutrients knee pain. This problem is referred to as patellofemoral dysfunction or patellofemoral maltracking.
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