Indications

Hyperflexion Compression test is a provocative test to stress the meniscus of the pain, in patients with suspected meniscal lesions.

Procedure:

  1. Patient prone with knee flexed 130°-150°
  2. Examiner applies downward force on the foot and rotates internally and externally
Hyperflexion Compression test for meniscus lesions

Examiner applies downward force on the foot and rotates internally and externally.

Interpretation:

The presence of pain or crepitus (popping sounds) with compression and rotation, which is relieved by distraction is a sign of Meniscal lesion.

Positive Hyperflexion Compression Test

    Pain or crepitus: Typically indicates Meniscal lesion.

Clinical notes

This test may be more specific for the location of posterior horn meniscal tears missed by the standard Apley’s compression test.