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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.
An imbalance between weak quadriceps and stronger hamstrings can also cause the injury, a condition that is common among runners. Tight quads can also cause the same problem. When the quadriceps are hit with a direct blow, like when being tackled or blocked in football or checked in hockey, theyâre at risk of injury.