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The quad tendon connects the quadriceps muscle to the top of the patella (white arrow). A quadriceps tendon rupture is a devastating injury to the knee that uncommonly occurs in sports. The quadriceps tendon is the tendon that extends from the quadriceps muscle of the thigh to the top of the patella (kneecap). Overall, it is part of the lower extremityâs extensor mechanism.
Other factors that can put extra tension on your quadriceps and influence your risk of experiencing a quadriceps strain include: 1  Poor fitness levels and lack of exercise. 2  Poor nutrition and obesity. 3  Posture irregularities (lumbar lordosis) 4  Neural tension (scar tissue around the nerves)