UMEM Educational Pearls

Category: Orthopedics

Title: Lever Sign for ACL tears

Keywords: ACL tear (PubMed Search)

Posted: 9/23/2017 by Brian Corwell, MD (Updated: 4/18/2024)
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Lever Sign/Lelli’s test

A new test for diagnosing ACL tears

Higher sensitivity (94 - 100%) than the Lachman test (highest sensitivity test to date)

With time and more study, this may become our new gold standard physical examination test

Very easy to learn and apply to bedside care

Can help with diagnosing partial tears

Area of manipulation is the femur and not the tibia (as in other tests)

Consider incorporating into your standard knee examination

Original study

Validation

Thank you to Ari Kestler for sending

https://www.ncbi.nlm.nih.gov/m/pubmed/25536951/