Start with a free account for 3 free CME credits. Already a subscriber? Sign in.

Excellence in the Physical Exam Series | Anterior Cruciate Ligament Injuries

Mike Weinstock, MD and Mike Pallaci, DO
00:00
07:34
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

A relatively new physical exam maneuver called the Lever test (also known as Lelli's test) looks promising as a potential new gold standard for ACL tears.  The fist of one hand is placed under the patient's proximal calf, while the other hand grabs the patients's distal thigh just above the knee. A downward force is applied to the distal thigh.  If the ACL is intact, the heel of the affected leg will be lifted off of the bed. If the ACL is torn, then the femur will just slide on the tibia, and the heel will stay rested on the bed. It's intuitive, it's easy, and two studies (see below) both showed this test to be superior to the Lachman, Anterior Drawer and Pivot Shift tests.  

To view chapter written summaries, you need to subscribe.

Sign up today for full access to all episodes.

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
Head, Shoulders, Knees and Toes Full episode audio for MD edition 190:11 min - 91 MB - M4AUrgent Care RAP December 2018 Written Summary 557 KB - PDF

To earn CME for this chapter, you need to subscribe.

Sign up today for full access to all episodes and earn CME.

0.25 Free AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate

3.25 AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate