Extensor mechanism

Written by Dr Sheila Strover on March 14, 2025

The extensor mechanism consists of a chain of anatomical structures including the quads muscle and kneecap that work together to straighten the knee.

rectus femoris part of quadriceps muscle

The rectus femoris muscle is one of the four part sof the quadriceps (quads) muscle and is a key part of the complex. The patella (kneecap) is embedded in its tendon.

extensor mechanism

The of muscle, bone and tendon complex reaches from the hip, through the femur and patella to the tibia. The four heads of the quads muscle are intimately involved with a network of fibrous tissue on the sides of the patella (retinaculum) and the whole works pretty much as a unit, and is called 'the extensor mechanism'.

Injury of the extensor mechanism

If any part of this extensor mechanism breaks, for example -

then the knee will not be able to fully actively extend.