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This video tutorial discusses the lever sign or Lachman test for diagnosing anterior cruciate ligament rupture. A study with 400 patients found the test to have a sensitivity and specificity of 100%. However, bias may exist as the test authors conducted the study. Another trial in 2015 found a sensitivity of 94% pre-anesthesia and 98% post-anesthesia. Specificity was not measured. To perform the test, have the patient lie supine 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.
