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Everything with the kneecap is a question of stability. Only when the kneecap functions properly can we extend and bend our knee without pain. Causes of pain in the kneecap are cartilage damage, anatomical changes and injuries to the ligaments. The three most common problems are:

My treatment spectrum


The kneecap is held in position laterally by ligaments. If one of these lateral ligaments tears or if one is under too much tension, the kneecap loses its ideal position and pain occurs. In the worst case, the patella dislocates completely – dislocation – in which case immediate surgical treatment is essential.


The groove in which the kneecap moves over the femur is so severely altered in this case that the kneecap has no stable guide. This may have different and several reasons at the same time. Here it is a matter of accurate and competent diagnosis – most damage can be treated very well surgically.


When a knee joint is not straight (knock knees), but the ligaments connecting the kneecap to the upper and lower leg are in a “normal” position, there is a lateral pull on the kneecap. This is corrected on the one hand by the leg straight position and on the other hand by shifting the attachment point of the ligaments to the bones.