Lever sign test or Lelli's test is used to diagnose a rupture of the anterior cruciate ligament (ACL). It is done after an injury without much discomfort. The patient is made to lie in a supine position with both legs fully extended. One fist of the therapist is positioned under the proximal third of the calf, and with the other hand, a downforce is applied over the distal third of the patient's quadriceps. When the heels raise, the test is negative, and if the heel does not raise, the test is positive.
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Can lever test be accurate in diagnosing ACL injury?
Query: Hello doctor, How accurate in your opinion is the Lelli ACL (Lever test)? I am almost three months post-op of having my ACL reconstructed along with a few lesions addressed during the surgery. I am concerned I have ruptured my ACL again after feeling a short sharp pain when turning in the sand... Read Full »
Answer: Hello, Welcome to icliniq.com. I read through the concern. The Lelli test is accurate in diagnosing acute on chronic ACL tears, more sensitive than many other traditional tests performed in an acute condition, especially partial and acute tears. Do not be afraid. Keep calm. Take precautions... Read Full »
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