The lever test evaluates for ACL rupture. With the knee fully extended, the examiner places a closed fist beneath the proximal tibia at the level of the tibial tuberosity, creating slight knee flexion, and then applies a downward force to the distal femur just above the knee, using the fist as a lever. In a negative test with an intact ACL, the applied force causes the patient’s heel to rise off the table. In a positive test indicating ACL rupture, the heel remains in contact with the table desp
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Have you ever heard of the Lever Sign Test aka the Lelli’s test to check the integrity of the ACL? Clinicians tap in and let me know what you think of this test / if you use it below 👇 Negative test: When the ACL is intact the downward force applied over the quadriceps will cause the heel to rise. Positive test: With a damaged ACL the downward force will cause anterior translation of tibia in relation to the femoral condyle. So, the heel will not rise! I think I read somewhere that it has incre
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