Leg · Sesamoid bone

Patella (Kneecap)

The patella, or kneecap, is the small bone at the front of the knee. It sits within the thigh-muscle tendon and protects the knee joint while improving the power of the muscles that straighten the leg.

RegionLeg
TypeSesamoid bone
Number in bodyPaired (2)

What it is

The patella is the largest sesamoid bone — a bone embedded within a tendon. It lies at the front of the knee inside the tendon of the quadriceps muscle.

Where it is

At the front of the knee, gliding in a groove at the lower end of the femur as the knee bends and straightens.

What it does

Protects the front of the knee joint and acts like a pulley, increasing the leverage of the quadriceps muscle so it can straighten the knee more powerfully.

Connections

Joints and connections

  • Patellofemoral joint (with the femur)

When things go wrong

Common injuries and conditions

  • Patella fracture (from a direct blow or fall)
  • Patellar dislocation
  • Anterior knee pain / patellofemoral pain syndrome

Education and reference only. This explains the anatomy in plain terms; it is not a diagnosis. A severe injury, a visibly deformed limb, or the inability to move or bear weight needs urgent assessment — call 999 or go to A&E for a serious injury.

Did you know?

An interesting fact

The patella is the largest sesamoid bone in the human body.

Answers

Patella: frequently asked questions

What is the kneecap for?

The kneecap (patella) protects the front of the knee and works as a pulley, boosting the power of the thigh muscle that straightens the leg.

Can you walk without a kneecap?

It is possible to walk after a kneecap is removed or badly injured, but the knee is weaker at straightening. Kneecap injuries are assessed and managed by a clinician.

Sources

Where this is drawn from

  • NHS — Anatomy and body systems
  • Gray's Anatomy for Students (Drake, Vogl, Mitchell)
  • TeachMeAnatomy — skeletal system

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