Hyperflexion Compression test is a provocative test to stress the meniscus of the pain, in patients with suspected meniscal lesions.
- Patient prone with knee flexed 130°-150°
- Examiner applies downward force on the foot and rotates internally and externally
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.
This test may be more specific for the location of posterior horn meniscal tears missed by the standard Apley’s compression test.