Genu recurvatum or knee hyperextension is extension of the tibiofemoral joint beyond 0˚ in stance phase, commonly seen during hemiplegic gait. If initial contact of the foot occurs with plantarflexion, the ground reaction force vector (GRFV) at the ankle passes in front of the knee resulting in the hyperextension. Furthermore, hip flexion occurs with the trunk coming forward as the GRFV passes in front of the hip. However, hyperextension can be seen in terminal swing due to decrease control of the hamstrings from midswing to terminal swing prior to initial contact. This eccentric weakness is often missed during gait analysis.
By Dr. Jennifaye V. Brown
















