The Lever Sign or Lelli's Test | Anterior Cruciate Ligament Rupture

This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Lever Sign or Lelli's Test is a novel test in the assessment of Anterior Cruciate Ligament Rupture. This video shows the test and explains its biomechanics.

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[philipyanni]

The various videos are a great learning tool. Physiotutors are so professional and knowledgeable. Keep up the great work. Stay safe & healthy.

[enioni]

That was a very simple illustration and effective in learning

[sweetroscoeful]

One thing I suggest for people performing this test is to ensure that the shoes are removed. Some types of shoes may make it more difficult to discern the actual lifting of the heel off the ground.

[suzanneowens]

What’s the complication rate for turning a partial into a complete?

[shekhfardin]

Lillis is better as compare to anterior drawer test? My mri have acl mild grade 1sprain or grade 2 signal posterior horn of medial meniscus not reaches to the articular surface? Please suggest best leg exercise ?

[tahazahid]

I did this test and my heel slightly moved up but not fully, I think thats because I still have some swelling on my knee, does this mean my acl is ok?

[SEDANSORED]

I got injuried, a nurse checked me and she said my ACL is probably broken, waiting for a RMI but I do practice this test at home and my foot is going up all the way, so what is it??

[InsaneIndoriMushtaq]

Hey, i love watching your videos, i just wanted to request you that can u demonstrate all the special tests of one joint in one video. For example one complete video on knee, including all necessary tests of ligaments, meniscus, patello femoral pain etc.

[BonziCatz]

All these tests are fine but I’ve returned multiple negative lachmann, lelli, anterior drawer and have a stable ACL deficient knee…. You have to get an MRI to be sure and even in that case sometimes the ACL can be more intact than the imaging reveals …. just from someone who’s had 3 reconstructions and now living without one in my right knee

[rimshasiddique]

Isn't the patellar tendon so strong to do the knee extension while applying force on quadriceps?

[BonziCatz]

Can you perform this test on yourself?

[loneyb]

Suspected I tore my acl 19.5 years ago, avoided seeing the dr so it wouldn’t be on my record when joining the army.
Recently diagnosed with Osteoarthritis but PA wasn’t sure about acl tear. Had two recent bad episodes of instability femur going one way and tib/fib going other and scheduled for MRI. PA tried all the regular tests on me but not this one. Just tried and seems according to the test that it’s torn.
I will follow up after the MRI to let you know my findings.

[ssouksv]

I think the inability to elevate the heel due to inhibition of the quadriceps by nervous system after injury to decrease forward translation ?

[patrickharvey]

When did Shia LaBeouf start doing ortho tests???