Hyperextension injury

Written by Dr Sheila Strover on March 14, 2025

A hyperextension injury is one caused by excessive hyperextension (knee bending backwards). Page updated July 2024 by Dr Sheila Strover (Clinical Editor)

Knee hyperextension after pothole accident
Foot caught in a pothole...

Momentum carries the person forward, but their foot cannot follow, leading to knee hyperextension.

Hyperextension and the PCL

Hyperextension is a classical modus of injury of the posterior cruciate ligament (PCL).

There may also be damage to other structures of the posterolateral corner.

"...Despite considerable attention in the clinical orthopaedic literature (nearly 400 articles published in the last decade), a standardized algorithm for the diagnosis and treatment of the PLC is still lacking, and much controversy remains...."

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