{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:06:07Z","timestamp":1765411567263,"version":"3.46.0"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"05","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":70,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>To investigate the value of clinical diagnostic tests for diagnosing anterior cruciate ligament (ACL) tears with the anterior drawer, Lachman, Pivot-shift, lever sign, and Forced Active Buckling (FAB)-sign tests.<\/jats:p>\n                  <jats:p>A cross-sectional study was conducted on 165 knee injury patients who were indicated for knee arthroscopy from January to December 2022. The clinical examination results were compared with the procedure's gold standard to determine the value of clinical diagnostic tests.<\/jats:p>\n                  <jats:p>The sensitivity and specificity values, respectively, were anterior drawer test: 77.5% and 86.1%; Lachman: 87.6% and 88.9%; Pivot-shift: 65.9% and 94.4%; Lever sign: 93.8% and 94.4%; and FAB sign: 81.4% and 97.2%.<\/jats:p>\n                  <jats:p>There are various clinical diagnostic tests for ACL tears. The Lever sign is a useful clinical test for physicians to examine and diagnose this condition.<\/jats:p>","DOI":"10.1055\/s-0045-1813005","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:01:42Z","timestamp":1765411302000},"page":"001-004","source":"Crossref","is-referenced-by-count":0,"title":["Value of Clinical Tests in Diagnosing Anterior Cruciate Ligament Tears: What Is New?"],"prefix":"10.1055","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-8984-9880","authenticated-orcid":false,"given":"Long Thanh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Danang Hospital, Danang, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Son Van","family":"Truong","sequence":"additional","affiliation":[{"name":"Department of Surgery, Danang Hospital, Danang, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Uyen Thi Phuong","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Radiology, Vinhduc Hospital, Quangnam, Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"issue":"10","key":"ref1","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1016\/j.pmrj.2010.06.014","article-title":"Evaluation, management, rehabilitation, and prevention of anterior cruciate ligament injury: current concepts","volume":"2","author":"W Micheo","year":"2010","journal-title":"PM R"},{"issue":"06","key":"ref2","doi-asserted-by":"publisher","first-page":"e0198797","DOI":"10.1371\/journal.pone.0198797","article-title":"Clinical diagnosis of partial or complete anterior cruciate ligament tears using patients' history elements and physical examination tests","volume":"13","author":"S D\u00e9cary","year":"2018","journal-title":"PLoS One"},{"issue":"10","key":"ref3","doi-asserted-by":"publisher","first-page":"2325967117729809","DOI":"10.1177\/2325967117729809","article-title":"Accuracy of the Lever Sign Test in the Diagnosis of Anterior Cruciate Ligament Injuries","volume":"5","author":"K A Jarbo","year":"2017","journal-title":"Orthop J Sports Med"},{"issue":"01","key":"ref4","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1186\/s13018-021-02381-x","article-title":"A modified anterior drawer test for anterior cruciate ligament ruptures","volume":"16","author":"G L Zhao","year":"2021","journal-title":"J Orthop Surg Res"},{"issue":"01","key":"ref5","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1055\/s-0038-1676351","article-title":"The Forced Active Buckling Sign: A New Clinical Test for the Diagnosis of ACL Insufficiency","volume":"33","author":"F Blanke","year":"2020","journal-title":"J Knee Surg"},{"issue":"09","key":"ref6","doi-asserted-by":"publisher","first-page":"2794","DOI":"10.1007\/s00167-014-3490-7","article-title":"The \u201cLever Sign\u201d: a new clinical test for the diagnosis of anterior cruciate ligament rupture","volume":"24","author":"A Lelli","year":"2016","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"01","key":"ref7","doi-asserted-by":"publisher","first-page":"22","DOI":"10.3944\/AOTT.2016.14.0283","article-title":"Clinical examination of anterior cruciate ligament rupture: a systematic review and meta-analysis","volume":"50","author":"W Huang","year":"2016","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"03","key":"ref8","doi-asserted-by":"publisher","first-page":"2325967118759631","DOI":"10.1177\/2325967118759631","article-title":"Does the Lever Sign Test Have Added Value for Diagnosing Anterior Cruciate Ligament Ruptures?","volume":"6","author":"M C Lichtenberg","year":"2018","journal-title":"Orthop J Sports Med"},{"issue":"31","key":"ref9","doi-asserted-by":"publisher","first-page":"e29263","DOI":"10.1097\/MD.0000000000029263","article-title":"Value of clinical tests in diagnosing anterior cruciate ligament injuries: A systematic review and meta-analysis","volume":"101","author":"Z Huang","year":"2022","journal-title":"Medicine (Baltimore)"},{"issue":"10","key":"ref10","doi-asserted-by":"publisher","first-page":"3287","DOI":"10.1007\/s00167-022-06898-4","article-title":"The diagnostic accuracy of clinical tests for anterior cruciate ligament tears are comparable but the Lachman test has been previously overestimated: a systematic review and meta-analysis","volume":"30","author":"P A Sokal","year":"2022","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"08","key":"ref11","doi-asserted-by":"publisher","first-page":"1895","DOI":"10.1007\/s00167-012-2250-9","article-title":"Methods to diagnose acute anterior cruciate ligament rupture: a meta-analysis of physical examinations with and without anaesthesia","volume":"21","author":"C F van Eck","year":"2013","journal-title":"Knee Surg Sports Traumatol Arthrosc"},{"issue":"10","key":"ref12","doi-asserted-by":"publisher","first-page":"749","DOI":"10.2519\/jospt.2011.3761","article-title":"Reliability and diagnostic accuracy of the Lachman test performed in a prone position","volume":"41","author":"E P Mulligan","year":"2011","journal-title":"J Orthop Sports Phys Ther"},{"issue":"02","key":"ref13","doi-asserted-by":"publisher","first-page":"e22.00123","DOI":"10.5435\/JAAOSGlobal-D-22-00123","article-title":"Clinical Examination in the Diagnosis of Anterior Cruciate Ligament Injury: A Blinded, Cross-sectional Evaluation","volume":"7","author":"R L Kulwin","year":"2023","journal-title":"J Am Acad Orthop Surg Glob Res Rev"},{"issue":"08","key":"ref14","doi-asserted-by":"publisher","first-page":"1560","DOI":"10.1016\/j.arthro.2017.03.007","article-title":"Critical Analysis of the Lever Test for Diagnosis of Anterior Cruciate Ligament Insufficiency","volume":"33","author":"P A Massey","year":"2017","journal-title":"Arthroscopy"}],"container-title":["Revista Brasileira de 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