Does the Lever Sign Test Have Added Value for Diagnosing Anterior Cruciate Ligament Ruptures?

Background: Diagnosing an anterior cruciate ligament (ACL) rupture based on a physical examination remains a challenge for both surgeons and physical therapists. The lever sign test was developed to overcome the practical limitations of other tests and to optimize diagnosis. An evaluation of the measurement properties of the lever sign test is needed to make adequate interpretations in practice.

Retroversion of the contralateral adult acetabulum after previous Perthes' disease.

Retroversion of the adult acetabulum following a previous Legg-Calvé-Perthes disease (LCPD) is found in 30-40% of the patients. It is known that in LCPD there may also be morphologic changes in the nonaffected controlateral acetabulum. We investigated the prevalence of retroversion of the contralateral acetabulum in a group of adult patients with a history of LCPD.

Scarf osteotomy in hallux valgus: a review of 72 cases.

The Scarf osteotomy is now widely used for the correction of hallux valgus. The aim of our study was to evaluate the results after Scarf osteotomy considering patient's satisfaction as well as the clinical and radiological results. Between 1996 and 1999, 72 feet underwent a Scarf osteotomy of the first metatarsal and, in 11 feet, an additional Akin osteotomy of the proximal phalanx, for the correction of hallux valgus (55 patients: 49 female, 6 male; mean age: 52 years).

Hip deformity in symptomatic adult Perthes' disease.

Only a limited number of patients that suffered from Legg-Calvé-Perthes' disease (LCPD) develop pain in early adulthood. Classical hinged abduction is well known and is thought to be responsible for secondary lateral insufficiency of the acetabulum, which may become painful. Another possible explanation, which was put forward more recently, is anterior femoroacetabular impingement.