In the Noble Compression Test, where is pain typically felt for it to be considered positive?

In the Noble Compression Test, a positive result is indicated by experiencing pain over the lateral epicondyle of the femur. This test is specifically used to assess for iliotibial band syndrome (ITBS), which is characterized by irritation of the iliotibial band as it passes over the lateral femoral epicondyle.

During the test, the patient typically lies supine while the clinician applies pressure to the lateral epicondyle while passively flexing and extending the knee. Pain elicited in this area signifies that the iliotibial band is being compressed against the bony prominence, thereby confirming irritation or inflammation associated with ITBS. Therefore, pain located here is critical for diagnosing posterior lateral knee pain linked to this condition.

Other areas, such as the medial or ankle joints, are not relevant to this specific test as they do not correlate with the anatomical structures being evaluated for iliotibial band syndrome. Additionally, while pain in the knee joint may be referred from other structures, it does not provide the specific indication that concerns the Noble Compression Test. Understanding the precise nature of the test helps clarify the importance of pain localization in diagnosis.