Injury Intervention by ProQuest

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Some risk factors to watch out for include excessive pronation (feet rolling in), excessive eversion (feet rolling out, or "sickling"), muscular imbalance, forced turnout and structural anomalies (e.g., differences in leg length). Patellofemoral syndrome is caused by poor patellar (kneecap) tracking or excessive loading of the patella, which generally results from the outside hip and thigh muscles (the vastus lateralis) being stronger than the inside thigh (vastus medialis), pulling the kneecap to the outside.

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