The Patella (Kneecap) is not a Weight Bearing Bone


the kneecap is not a weight bearing bone kneecap kneecap is not a weight bearing bone

The patella bone, commonly called the kneecap, is not meant to be a weight bearing bone so I usually tell my students that they can put a blanket under their knees for poses where the knees are on the ground. Some choose not to  and I can relate as I used to be of a similar mindset.

But these days a blanket can always be found under my knees.

The kneecap covers and protects the front of the knee joint and is the largest sesamoid bone in the body. A sesamoid is a bone is embedded within a tendon, usually across a joint and acts to increase the mechanical effectiveness of a muscle.

The kneecap is embedded in the quadriceps muscle. The quadriceps muscle group is made up of four muscles that meet to form a common tendon that houses the kneecap and attaches to the tibia, the larger of the two shin bones.

The quadriceps muscle is an extensor of the knee, an action accomplished with the help of the patella. The rectus femoris, the lone quadriceps muscle that attaches to the pelvis, is also a flexor of the hip.

If you are standing and you lift the knee up towards your chest that is the work of the rectus femoris (and the iliopsoas). If you extend the knee to straighten the leg, that is the work of the rest of the quadriceps as well.

On a gruesomely related note—to reinforce that the kneecap is not a weight bearing bone— I am currently on the final installment of the Child 44 trilogy by Tom Rob Smith. Following the harrowing adventures of Leo Demidov we learn a catalogue of torture techniques, a number of which our hero must endure.

The one I am mentioning now (spoiler alert) is when he is tied up (basically in bow pose) and hung from the ceiling by his armpits with the full weight of his body resting on his kneecaps—for twelve hours. The results are not pretty.

I love reading things that apply to what I teach, even in such a context.

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3 Comments
  1. Someone should have told Martha Graham, the great pioneering modern dance choreographer, that the patella is not a weight bearing bone. She included a lot of work on the knees in her choreography, including “running” on the knees, and even something amounting to a light “jump” on the knees. I don’t know if I can post a link here, but if it works, you can see some Graham knee runs here:
    https://www.youtube.com/watch?v=rtoALLAyMsA
    at about 1:16-1:45 minutes.
    When I took classes at the Graham school, there was a great deal in the classes done on the knees. I found it excruciating, and couldn’t help but feel it was harmful, but it was one of those things that everyone just pretended like they were fine: “suffer for your art”.

  2. Fun to see all those moving parts around the kneecap! Makes me appreciate the orthopods who work on replacing some of them, as they predict I’ll need to have done one day. The illustration makes me wonder how far behind the patellar tendon the anterior cruciate ligament resides. The drawing indicates it’s nearer the middle, rather than toward the front. The posterior, anterior and medial seem to be on the “edges.”

  3. I have cut up old yoga mats, they are pretty thick, my students put them under their knees. I like these better I feel more stable. Do you think a blanket is better or this is just as good.

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