We postulate six elements of the multi-layered quadriceps tendon based on the current dissection (Fig. 5): Lateral aponeurosis of the vastus intermedius, deep and superficial medial aponeurosis of the vastus intermedius, vastus lateralis, tensor vastus intermedius and rectus femoris. All these elements – with differences in fiber direction - join each other a certain distance proximal to the patella (Fig. 3). Despite the complex structure of the quadriceps tendon and individual differences its anatomic arrangement is well structured.