Template:ACL clinical features - Revision history

Ostermayer at 02:04, 18 January 2026

2026-01-18T02:04:15Z

← Revisión anterior		Revisión del 02:04 18 ene 2026
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Ostermayer: Prepared the page for translation

2026-01-18T02:03:42Z

Prepared the page for translation

← Revisión anterior		Revisión del 02:03 18 ene 2026
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	===ACL Injury===		===ACL Injury===

	*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic		*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic
	*Lever Sign or Lelli’s test (highest sensitivity at 94<ref>Deveci A, Cankaya D, Yilmaz S, Özdemir G, Arslantaş E, Bozkurt M. The arthroscopical and radiological correlation of lever sign test for the diagnosis of anterior cruciate ligament rupture. SpringerPlus. 2015; 4:830. doi:10.1186/s40064-015-1628-9.</ref>-100%<ref>Lelli A, Di Turi RP, Spenciner DB, et al. Knee Surg Sports Traumatol Arthrosc. 2016; 24:2794. https://doi.org/10.1007/s00167-014-3490-7</ref>). Demonstrated to be effective and 100% sensitive in a small ED study, especially compared to traditional methods<ref>Mcquivey, K. S., Christopher, Z. K., Chung, A. S., Makovicka, J., Guettler, J., & Levasseur, K. (2019). Implementing the Lever Sign in the Emergency Department: Does it Assist in Acute Anterior Cruciate Ligament Rupture Diagnosis? A Pilot Study. The Journal of Emergency Medicine, 57(6), 805–811. doi: 10.1016/j.jemermed.2019.09.003</ref>.		*Lever Sign or Lelli’s test (highest sensitivity at 94<ref>Deveci A, Cankaya D, Yilmaz S, Özdemir G, Arslantaş E, Bozkurt M. The arthroscopical and radiological correlation of lever sign test for the diagnosis of anterior cruciate ligament rupture. SpringerPlus. 2015; 4:830. doi:10.1186/s40064-015-1628-9.</ref>-100%<ref>Lelli A, Di Turi RP, Spenciner DB, et al. Knee Surg Sports Traumatol Arthrosc. 2016; 24:2794. https://doi.org/10.1007/s00167-014-3490-7</ref>). Demonstrated to be effective and 100% sensitive in a small ED study, especially compared to traditional methods<ref>Mcquivey, K. S., Christopher, Z. K., Chung, A. S., Makovicka, J., Guettler, J., & Levasseur, K. (2019). Implementing the Lever Sign in the Emergency Department: Does it Assist in Acute Anterior Cruciate Ligament Rupture Diagnosis? A Pilot Study. The Journal of Emergency Medicine, 57(6), 805–811. doi: 10.1016/j.jemermed.2019.09.003</ref>.
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	**Displacement >5mm or soft end-point indicates injury		**Displacement >5mm or soft end-point indicates injury
	*Pivot Shift Test		*Pivot Shift Test
	*[[Segond Fracture]]		*[[Special:MyLanguage/Segond Fracture\|Segond Fracture]]
	**Pathognomonic for ACL tear but rare		**Pathognomonic for ACL tear but rare
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ElavemanMD: /* ACL Injury */

2020-04-12T22:02:43Z

ACL Injury

← Revisión anterior		Revisión del 22:02 12 abr 2020
Línea 1:		Línea 1:
	===ACL Injury===		===ACL Injury===
	*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic		*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic
	*Lever Sign or Lelli’s test (highest sensitivity at 94<ref>Deveci A, Cankaya D, Yilmaz S, Özdemir G, Arslantaş E, Bozkurt M. The arthroscopical and radiological correlation of lever sign test for the diagnosis of anterior cruciate ligament rupture. SpringerPlus. 2015; 4:830. doi:10.1186/s40064-015-1628-9.</ref>-100%<ref>Lelli A, Di Turi RP, Spenciner DB, et al. Knee Surg Sports Traumatol Arthrosc. 2016; 24:2794. https://doi.org/10.1007/s00167-014-3490-7</ref>)		*Lever Sign or Lelli’s test (highest sensitivity at 94<ref>Deveci A, Cankaya D, Yilmaz S, Özdemir G, Arslantaş E, Bozkurt M. The arthroscopical and radiological correlation of lever sign test for the diagnosis of anterior cruciate ligament rupture. SpringerPlus. 2015; 4:830. doi:10.1186/s40064-015-1628-9.</ref>-100%<ref>Lelli A, Di Turi RP, Spenciner DB, et al. Knee Surg Sports Traumatol Arthrosc. 2016; 24:2794. https://doi.org/10.1007/s00167-014-3490-7</ref>). Demonstrated to be effective and 100% sensitive in a small ED study, especially compared to traditional methods<ref>Mcquivey, K. S., Christopher, Z. K., Chung, A. S., Makovicka, J., Guettler, J., & Levasseur, K. (2019). Implementing the Lever Sign in the Emergency Department: Does it Assist in Acute Anterior Cruciate Ligament Rupture Diagnosis? A Pilot Study. The Journal of Emergency Medicine, 57(6), 805–811. doi: 10.1016/j.jemermed.2019.09.003</ref>.
	**Place a fist under the proximal third of the calf		**Place a fist under the proximal third of the calf, opposite from tibial tuberosity
	**Apply moderate force to the anterior quadriceps		**Apply moderate force to the anterior quadriceps
	**Heel should raise off table if ACL ~~is intact~~		**Heel should raise off table if there is not a complete rupture of ACL
	[[File:Lever test.PNG\|thumb\|Lever Test]]		[[File:Lever test.PNG\|thumb\|Lever Test]]
	*Anterior Drawer Sign		*Anterior Drawer Sign

ElavemanMD: /* ACL Injury */

2020-04-12T22:00:40Z

ACL Injury

← Revisión anterior		Revisión del 22:00 12 abr 2020
Línea 5:		Línea 5:
	**Apply moderate force to the anterior quadriceps		**Apply moderate force to the anterior quadriceps
	**Heel should raise off table if ACL is intact		**Heel should raise off table if ACL is intact
	[[File:Lever test.~~jpg~~\|thumb\|~~Writing that you want on the bottom of the photo~~]]		[[File:Lever test.PNG\|thumb\|Lever Test]]
	*Anterior Drawer Sign		*Anterior Drawer Sign
	**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction		**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction

ElavemanMD: /* ACL Injury */

2020-04-12T21:59:13Z

ACL Injury

← Revisión anterior		Revisión del 21:59 12 abr 2020
Línea 5:		Línea 5:
	**Apply moderate force to the anterior quadriceps		**Apply moderate force to the anterior quadriceps
	**Heel should raise off table if ACL is intact		**Heel should raise off table if ACL is intact
	[[File:Lever ~~Sign~~.jpg\|thumb\|Writing that you want on the bottom of the photo]]		[[File:Lever test.jpg\|thumb\|Writing that you want on the bottom of the photo]]
	*Anterior Drawer Sign		*Anterior Drawer Sign
	**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction		**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction

ElavemanMD: /* ACL Injury */

2020-04-12T21:58:49Z

ACL Injury

← Revisión anterior		Revisión del 21:58 12 abr 2020
Línea 5:		Línea 5:
	**Apply moderate force to the anterior quadriceps		**Apply moderate force to the anterior quadriceps
	**Heel should raise off table if ACL is intact		**Heel should raise off table if ACL is intact
			[[File:Lever Sign.jpg\|thumb\|Writing that you want on the bottom of the photo]]
	*Anterior Drawer Sign		*Anterior Drawer Sign
	**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction		**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction

Rossdonaldson1: /* ACL */

2019-05-10T04:20:07Z

ACL

← Revisión anterior		Revisión del 04:20 10 may 2019
Línea 1:		Línea 1:
	===ACL===		===ACL Injury===
	*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic		*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic
	*Lever Sign or Lelli’s test (highest sensitivity at 94<ref>Deveci A, Cankaya D, Yilmaz S, Özdemir G, Arslantaş E, Bozkurt M. The arthroscopical and radiological correlation of lever sign test for the diagnosis of anterior cruciate ligament rupture. SpringerPlus. 2015; 4:830. doi:10.1186/s40064-015-1628-9.</ref>-100%<ref>Lelli A, Di Turi RP, Spenciner DB, et al. Knee Surg Sports Traumatol Arthrosc. 2016; 24:2794. https://doi.org/10.1007/s00167-014-3490-7</ref>)		*Lever Sign or Lelli’s test (highest sensitivity at 94<ref>Deveci A, Cankaya D, Yilmaz S, Özdemir G, Arslantaş E, Bozkurt M. The arthroscopical and radiological correlation of lever sign test for the diagnosis of anterior cruciate ligament rupture. SpringerPlus. 2015; 4:830. doi:10.1186/s40064-015-1628-9.</ref>-100%<ref>Lelli A, Di Turi RP, Spenciner DB, et al. Knee Surg Sports Traumatol Arthrosc. 2016; 24:2794. https://doi.org/10.1007/s00167-014-3490-7</ref>)

Neil.m.young: level test added

2017-09-25T10:54:48Z

level test added

← Revisión anterior		Revisión del 10:54 25 sep 2017
Línea 1:		Línea 1:
	===ACL===		===ACL===
	*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic		*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic
	*Lever Sign or Lelli’s test (highest sensitivity at 94-100%)		*Lever Sign or Lelli’s test (highest sensitivity at 94<ref>Deveci A, Cankaya D, Yilmaz S, Özdemir G, Arslantaş E, Bozkurt M. The arthroscopical and radiological correlation of lever sign test for the diagnosis of anterior cruciate ligament rupture. SpringerPlus. 2015; 4:830. doi:10.1186/s40064-015-1628-9.</ref>-100%<ref>Lelli A, Di Turi RP, Spenciner DB, et al. Knee Surg Sports Traumatol Arthrosc. 2016; 24:2794. https://doi.org/10.1007/s00167-014-3490-7</ref>)
	**Place a fist under the proximal third of the calf		**Place a fist under the proximal third of the calf
	**Apply moderate force to the anterior quadriceps		**Apply moderate force to the anterior quadriceps

Neil.m.young: /* ACL */

2017-09-25T10:49:34Z

ACL

← Revisión anterior		Revisión del 10:49 25 sep 2017
Línea 1:		Línea 1:
	===ACL===		===ACL===
	*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic		*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic
			*Lever Sign or Lelli’s test (highest sensitivity at 94-100%)
			**Place a fist under the proximal third of the calf
			**Apply moderate force to the anterior quadriceps
			**Heel should raise off table if ACL is intact
	*Anterior Drawer Sign		*Anterior Drawer Sign
	**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction		**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction
	**Displacement of >6mm compared w/ opposite knee indicates injury		**Displacement of >6mm compared w/ opposite knee indicates injury
	*Lachman Test ~~(most sensitive)~~		*Lachman Test
	**Pt supine, knee flexed 30', femur held w/ one hand, prox tibia pulled up w/ other hand		**Pt supine, knee flexed 30', femur held w/ one hand, prox tibia pulled up w/ other hand
	**Displacement >5mm or soft end-point indicates injury		**Displacement >5mm or soft end-point indicates injury

TJYE: /* ACL */

2017-04-14T01:52:38Z

ACL

← Revisión anterior		Revisión del 01:52 14 abr 2017
Línea 1:		Línea 1:
	===ACL===		===ACL===
	*Hearing/feeling a "pop" during injury is pathognomonic		*Hearing/feeling a "pop" during injury with ensuing knee instability is pathognomonic
	*Anterior Drawer Sign		*Anterior Drawer Sign
	**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction		**Pt supine, knee flexed 90', attempt to displace tibia from femur in a forward direction
	**Displacement of >6mm compared w/ opposite knee indicates injury		**Displacement of >6mm compared w/ opposite knee indicates injury
	*Lachman Test		*Lachman Test (most sensitive)
	**Pt supine, knee flexed 30', femur held w/ one hand, prox tibia pulled up w/ other hand		**Pt supine, knee flexed 30', femur held w/ one hand, prox tibia pulled up w/ other hand
	**Displacement >5mm or soft end-point indicates injury		**Displacement >5mm or soft end-point indicates injury
			*Pivot Shift Test
	*[[Segond Fracture]]		*[[Segond Fracture]]
	**Pathognomonic for ACL tear		**Pathognomonic for ACL tear but rare