The fascia lata is thickened at its lateral side where it forms the iliotibial tract, a structure that runs to the tibia and serves as a site of muscle attachment.
It is thicker in the upper and lateral part of the thigh, where it receives a fibrous expansion from the gluteus maximus, and where the tensor fasciae latae is inserted between its layers; it is very thin behind and at the upper and medial part, where it covers the adductor muscles, and again becomes stronger around the knee, receiving fibrous expansions from the tendon of the biceps femoris laterally, from the sartorius medially, and from the quadriceps femoris in front.
Laterally, the fascia lata receives the greater part of the tendon of insertion of the gluteus maximus, and becomes proportionately thickened.
Below, the fascia lata is attached to all the prominent points around the knee joint, viz., the condyles of the femur and tibia, and the head of the fibula.
On either side of the kneecap it is strengthened by transverse fibers from the lower parts of the vasti muscles (three of the four quadriceps) which are attached to and support this bone.
[4] A small portion of fascia lata harvested through a sub centimeter skin incision on the lower lateral side of the thigh is used for reconstructing the ear drum in tympanoplasty surgery.