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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 / Abnormal on the right side (heel does not rise from the table). Dr. Francisco Lara Pulido @trauma_modern #Lellis #Test #Lever #Sign #ACL #Injury #acl #anterior #cruciate #ligament #clinical #video #physicalexam #sports #msk #orthopedics