what exactley does it mean when a kneww is "hyper extended"?
I have no medical experience whatsoever, so I just googled this:
Answer
from Edward R. Laskowski, M.D. - Mayo Clinic
Knee hyperextension occurs when excessive pressure forces your knee past its normal straightened position and bends your knee backwards. Hyperextension is the mechanism of many knee injuries in gymnastics, basketball and volleyball. Your knee can also become hyperextended from the force of a fall or blow.
Hyperextension injuries can damage ligaments, cartilage and other stabilizing structures in your knee. If your knee absorbs a strong, sudden force when your leg is straight and tense a common scenario in car crashes the injury may be severe. Your knee could be dislocated and several knee ligaments could be torn or detached from adjoining bones and muscles.
In sports, the damage from a hyperextended knee is usually less extensive. The effects might be limited to bruising, swelling and pain when you try to straighten your knee. On the other hand, forceful hyperextension may tear one of your knee ligaments, frequently the anterior cruciate ligament (ACL).
An injury severe enough to cause knee joint swelling, instability, impaired motion or pain should be evaluated by a doctor immediately. Even if the injury doesn't need surgical repair, you're likely to require a period of rest from activity along with physical therapy interventions to restore your leg strength and stability.
If surgery is required, you may need to wait six to nine months before returning to sports. If a child has a ligament tear that requires surgery, doctors often recommend postponing surgery until the child's bones have stopped growing.
That being said - I pray that the big fella is fine.