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Tightness of the quadriceps, hamstrings, calf muscles and iliotibial band can chick adversely affect patellofemoral function. Muscles act as motor units to move the joints but also as shock absorbers during impact activities. Weakness of the quadriceps, hip abductors and chick hip external rotators can increase the potential for patellofemoral pain. The patella itself can vary in term of its position relative to the knee. A very high sitting patella is more likely to be unstable and cause pain. The femoral groove at the end of the femur may have a very redundant chick lateral femoral condyle, allowing the patella to travel laterally to an excessive degree. Repetition strain Anterior knee pain can be caused by repeated forceful loading of the patellofemoral joint, particularly where the individual has had little preparation for such activity. A sudden increase in training load in running or jumping sports is certainly known to place the individual at risk for anterior knee pain. Taking a school group walking in the mountains, for example, when some of the children are not fit to undertake such activities, can result in very florid cases of patellofemoral dysfunction.
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