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This is going to be a video on the lever sign or least test for the diagnosis of anterior Cruciate ligament rupture Hi, and welcome back to PhySio tutors a study comprised of 400 patients with acute and Chronic as well as complete Or incomplete ruptures of the acl rated the lever science sensitivity and specificity At an outstanding 100 percent which would make it the perfect test statistically speaking there could be a high risk of bias to the study as the authors also the founders of the test a second trial from the year 2015 Evaluated the sensitivity of the liebherr sign at [ninety] [four] [percent] before anesthesia and at ninety eight percent under anesthesia The specificity was not measured in the trial as always you can find links to both articles in the description down below To conduct the test have your patient in supine lying position with the legs fully extended then place one fist under the proximal third of the calf and then applied moderate downward Force over the dista