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The feeling of a loose knee cap is most commonly caused by an injury that has sprained or tore ligaments. A meniscal or anterior cruciate ligament (ACL) injury can also cause knee instability and pain.
Treatments for knee instability Rest, ice and elevation to reduce pain and swelling. Nonsteroidal anti-inflammatory drugs (NSAIDs), which can also reduce pain and swelling. A knee brace to support the knee as it heals. Physical therapy to improve strength and mobility.
Patellofemoral instability is a result of malalignment of the patella in the trochlear grove caused by stretched or ruptured medial kneecap-stabilizers (traumatic) or anatomical anomalies of the knee joint.
What are the signs and symptoms of patellar instability? Your child may experience pain, swelling, stiffness, difficulty walking on the affected limb, and/or buckling, catching, or locking sensation in the knee. Lastly, there may also be a noticeable deformity in the affected knee.
What are the signs and symptoms of patellar instability? Your child may experience pain, swelling, stiffness, difficulty walking on the affected limb, and/or buckling, catching, or locking sensation in the knee. Lastly, there may also be a noticeable deformity in the affected knee.

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Patellofemoral instability is a result of malalignment of the patella in the trochlear grove caused by stretched or ruptured medial kneecap-stabilizers (traumatic) or anatomical anomalies of the knee joint.
What are the signs and symptoms of patellar instability? Your child may experience pain, swelling, stiffness, difficulty walking on the affected limb, and/or buckling, catching, or locking sensation in the knee. Lastly, there may also be a noticeable deformity in the affected knee.
Doctors aren't certain what causes patellofemoral pain syndrome, but it's been associated with: Overuse. Running or jumping sports puts repetitive stress on your knee joint, which can cause irritation under the kneecap. Muscle imbalances or weaknesses.
Patellar tracking disorder is a knee condition in which the patella, also known as the kneecap, tends to shift out of place as the leg moves. The kneecap usually shifts toward the outside of the leg when the leg bends and straightens. While patellar tracking disorder can be painful, it is not often debilitating.
When these become injured, your kneecap may move out of the groove, causing pain and difficulty flexing the knee. The extent of the dislocation determines whether it's called a patellar subluxation or a dislocation. Most injuries push the kneecap toward the outside of the knee.