The primary function of the vastus medialis is to facilitate knee extension by acting on the patellar tendon, which is connected to the tibia below the kneecap. This muscle is particularly vital during the final stages of knee extension, often referred to as the 'last 15 degrees' of extension, which helps maintain stability while walking and supporting the body during weight-bearing activities. The vastus medialis also plays a crucial role in stabilizing the patella, ensuring that it tracks smoothly as the knee moves. This stabilization is particularly important during activities that involve rapid changes in direction or heavy loading, such as sports that include running and jumping. Due to its unique architecture, the vastus medialis is highly recruited during motions that require precise knee control.
Vastus medialis is situated in the anterior (front) compartment of the thigh. It originates from the femur, specifically from the intertrochanteric line and the medial lip of the linea aspera, which are located on the back of the thigh bone. From these points, it extends downward, converging into a tendon that merges with the quadriceps tendon and ultimately inserts into the patella. This positioning allows it to interact seamlessly with the other muscles of the quadriceps group, making it an integral part of the knee joint's function. In addition to its anatomical location, the vastus medialis lies medially next to the vastus lateralis, which is located on the outer side of the thigh, creating a balance of forces across the knee.