Kneecap Maltracking

There is a lot of overlap between many of these kneecap conditions and this condition overlaps with Dysplasia and subluxation/dislocation.
The term ‘Kneecap Maltracking’ is usually used when there is a definable or measurable structural abnormality of part (or several parts) of the kneecap stabilizing mechanisms. The simplest form is when the kneecap moves to the outside (laterally) of the knee during knee bending due to over tightness of the small stabilizing ligament (lateral retinacula) on the outside of the kneecap and the muscles down the outer side of the thigh. This is sometimes called ‘Excess Lateral Pressure Syndrome' (ELPS) of the kneecap and causes chronic aching under the kneecap on repeated bending activities.
Treatment will often be successful with physiotherapy stretches, taping and bracing but sometimes arthroscopic surgery (Electrosurgical Lateral Release and Medial Capsular Thermal Shrinkage) will be necessary. Less often more major and open surgery is required to correct the abnormalities
Untreated, this problem may progress and cause wear of the kneecap (Chondromalacia or arthritis).