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This video tutorial discusses the lever sign or least test for diagnosing anterior cruciate ligament rupture. A study involving 400 patients showed sensitivity and specificity of 100 percent, making it a statistically perfect test despite potential bias. Another trial in 2015 found sensitivity of 94 percent without anesthesia and 98 percent with anesthesia, while specificity was not measured. To perform the test, have the patient in a supine position with legs extended, place a fist under the calf's proximal third, and apply moderate downward force over the distal end. Links to both articles are provided in the description.
