When you bend your knee, the quadriceps muscle is stretched. This increases the tension in the quadriceps tendon attached to your kneecap (the patella), which in turn increases the tension in the patella tendon that attaches your kneecap to your lower leg bone (the tibia). Simultaneously, the end of your upper leg bone (the femur) pushes outward on the patella. The figure shows the relationship between the quadriceps muscle, the patella, and the tibia.