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Lelli's Test (Lever Sign) for ACL Injury A fist is placed under the proximal 3rd of the calf and downward force is applied over the distal quadriceps. Normal on the left side (heel rises from the table). Positive on the right side (heel does not rise from the table). Via Angel Nuñez @nun_angel #Lellis #Test #Lever #Sign #ACL #Injury #acl #anterior #cruciate #ligament #clinical #video #physicalexam #sports #msk #orthopedics