The anterior muscle group of the knee or the quadriceps group includes the vastus lateralis , the vastus medialis , the vastus intermedius , and the rectus femoris ( Fig. 9.2 ). The quadriceps muscle and tendon extend the lower leg and play an important role in patellar stability. The muscle is also an important part of the extensor mechanism of the knee, which also includes the medial and lateral patellar retinaculum, patellofemoral and patellotibial ligaments, the patellar tendon, the prepatellar structures, the Hoffa's fat pad, and the tibial tubercle.