Genu recurvatum is a common entity found in the clinic that may have negative consequence to knee structures. The purpose of this essay is to review the anatomy, biomechanics and clinical effects associated with genu recurvatum.Genu recurvatum is defined as knee extension greater than 5 degrees. Individuals who exhibit genu recurvatum may experience knee pain, display an extension gait pattern, and have poor proprioceptive control of terminal knee extension. An evaluative process and treatment program are discussed that include operative and non operative measures.This essay is intended to draw attention to patients with genu recurvatum and presents a suggested treatment progression.