{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:00:53Z","timestamp":1790434853449,"version":"4.1.0"},"reference-count":14,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,30]],"date-time":"2026-08-30T00:00:00Z","timestamp":1788048000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["arthroscopyjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Knee hyperextension injuries remain a poorly defined entity, often functioning more as a descriptive label than a true mechanistic diagnosis. Rather than representing isolated sagittal\u2010plane events, these injuries reflect the final position of complex multiplanar loading patterns, resulting in highly variable structural damage that frequently extends beyond the cruciate ligaments. Emerging clinical observations suggest that patients with subtle hyperextension mechanisms may present with persistent pain and instability despite largely normal imaging and standard ligament testing. This highlights the potential under\u2010recognition of secondary stabilizers, particularly posterior capsular structures. Biomechanical evidence supports this concept, showing that significant hyperextension requires combined disruption of multiple capsuloligamentous restraints, with the posterior capsule playing a central role. The current literature reinforces this perspective, showing that hyperextension is not the result of isolated ligament failure but rather a combined structural breakdown. Clinically, failure to recognize this complexity may lead to incomplete treatment and suboptimal outcomes. A shift toward mechanism\u2010based understanding, exhaustive clinical examination, systematic imaging evaluation, and integrated classification systems is essential to improve diagnosis and management.<\/jats:p>","DOI":"10.1002\/arj.70586","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T01:55:28Z","timestamp":1788141328000},"page":"2140-2143","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Editorial Commentary<\/i>\n                    : Knee Hyperextension Injuries: What Are We Really Diagnosing and How to Solve the Problem?"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8806-9384","authenticated-orcid":false,"given":"Romain","family":"Seil","sequence":"first","affiliation":[{"name":"Centre Hospitalier de Luxembourg \u2013 Clinique d\u2019Eich  Luxembourg Luxembourg"},{"name":"Luxembourg Institute of Research in Orthopaedics, Sports Medicine and Science (LIROMS)  Luxembourg Luxembourg"},{"name":"Human Motion, Orthopaedics, Sports Medicine and Digital Methods (HOSD) Luxembourg Institute of Health (LIH)  Luxembourg Luxembourg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1136-5147","authenticated-orcid":false,"given":"\u00c1lvaro","family":"Pomar\u2010Matias","sequence":"additional","affiliation":[{"name":"Complex Hospitalari Universitari Mois\u00e8s Broggi, Consorci Sanitari Integral  Sant Joan Desp\u00ed Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,30]]},"reference":[{"key":"e_1_2_3_2_1","article-title":"Injuries to multiple ligamentous and capsular structures cause abnormal knee hyperextension: A robotic study in human knees","author":"Deardurff R","journal-title":"Arthroscopy."},{"key":"e_1_2_3_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/03635465231155203"},{"key":"e_1_2_3_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/0363546509348742"},{"key":"e_1_2_3_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1725007"},{"key":"e_1_2_3_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100160608"},{"key":"e_1_2_3_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/jeo2.12052"},{"key":"e_1_2_3_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199274040-00014"},{"key":"e_1_2_3_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-005-0686-x"},{"key":"e_1_2_3_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-015-3594-8"},{"key":"e_1_2_3_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2020.08.019"},{"key":"e_1_2_3_12_1","first-page":"211","article-title":"Experimental capsulo\u2010ligamentar lesions of the knee during passive hyperextension. biomechanical aspects. A lesional evaluation and consequences","volume":"81","author":"Bizot P","year":"1995","journal-title":"Rev Chir Orthop Reparatrice Appar Mot."},{"key":"e_1_2_3_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-023-00684-y"},{"key":"e_1_2_3_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jor.2025.07.014"},{"key":"e_1_2_3_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jeo2.70805"}],"container-title":["Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70586","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/arj.70586","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/arj.70586","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T14:41:46Z","timestamp":1790433706000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1002\/arj.70586"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,30]]},"references-count":14,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/arj.70586"],"URL":"https:\/\/doi.org\/10.1002\/arj.70586","archive":["Portico"],"relation":{},"ISSN":["0749-8063","1526-3231"],"issn-type":[{"value":"0749-8063","type":"print"},{"value":"1526-3231","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,30]]},"assertion":[{"value":"2026-08-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}