TBT has a bipartite appearance on MR images and inserts on olecranon as a single unit.

The prepatellar quadriceps continuation is formed by fibers of the rectus femoris tendon and connects the quadriceps and patellar tendons. All tendons are attached through formation of a chondroapophyseal zone and are therefore transformed into a seam of fibrocartilage. Based on these anatomic features, separation of the prepatellar quadriceps continuation from the patella in the absence of more extensive abnormalities of the quadriceps mechanism is plausible.

The pericruciate fat pad is a structure located in the intercondylar fossa, intimate with both the anterior and posterior cruciate ligaments. Inflammatory changes in this fat pad may be found in patients, especially athletes with posterior knee pain.

MR imaging enabled detailed analysis of the complex distal insertions of the TPT as well as a better understanding of those features of its insertion that can simulate a lesion.