Procedure

  1. Patient supine or side-lying
  2. Examiner applies lateral to medial pressure over the patient’s lateral epicondyle with thumb and slowly flexes and extends the leg (3-4 times)

Noble Compression test for knee

Interpretation

Positive Nobel Compression Test

Pain over the lateral femoral epicondyle or palpable tendon snapping: Iliotibial band syndrome

Clinical Notes

Etiologic factors in ITB syndromes:

  1. Pelvic tilt, running or cycling on an oblique surface
  2. Increased activity, sudden increase in running or cycling distance
  3. Varus knee deformity
  4. Leg length inequality (may be related to pelvic tilt)
  5. Overpronation syndrome