Anyone familiar with this? Today was my lucky day and i happen to get in contact with a sports doctor on the internet. I just sent her an e-mail and asked about patella maltracking. How can i tell if my patella was out of its normal tracking route? She told me it is possible to tell that by looking into MRI, tangential projection of the patella to be more specific. Luckily, i had that from last year. Sent it to her and she told me my patella was shifted laterally and also tilted! Now she told me to do an exercise to fix it back to its normal position. Hopefully it will work and i can get on the saddle for longer and harder rides. If you have that kind of problem and want to add something i'd appreciate.