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Performing the Test: The patient is instructed to sit with forearms supinated and arms abducted greater than shoulder width. Next have the patient fully extend their elbows. A positive test is if apprehension occurs with terminal extension of the involved elbow or reluctance to push through arms. Diagnostic Accuracy 24 Ruland RT, Dunbar RP, Bowen JD. The biceps squeeze test for diagnosis of distal biceps tendon ruptures. Clin Orthop Relat Res 2005; 437: 128-131 ; 25 OʼDriscoll SW, Goncalves LB, Dietz P. The hook test for distal biceps tendon avulsion. Am J Sports Med 2007; 35: 1865-1869 ; 26 Chew ML, Giuffre BM. Disorders of the distal biceps brachii tendon. Background Complete biceps tendon avulsions are frequently missed on clinical examination, suggesting the need for a reliable diagnostic test.

Ruland biceps squeeze test

Examiner places one hand at myotendinous junction, the other around the muscle belly. Clinician then squeezes the affected biceps with both hands. As the muscle is squeezed, the muscle is drawn away from the humerus causing a bowing of the muscle. Positive test: Lack of forearm supination, indicating a rupture. It is our mission to challenge sports and orthopedic physical therapists to become clinical experts by providing residency level education.Follow us!

Here is how to do it: https://youtu.be/b9cKgwnFIAw Similarly 12 Oct 2007 Rupture of the distal insertion of the biceps brachii tendon. Clin Orthop. 1988; 234: 34- Ruland R.T.; Dunbar R.P.; Bowen J.D..

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Ruland RT, Dunbar RP,. Bowen JD. Abb. 7.2a △ Biceps Twenty-five consecutive patients with 26 presumptive distal biceps tendon ruptures were evaluated with the biceps squeeze test. The biceps squeeze test was positive in 24 patients.

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Diagnostic Accuracy 24 Ruland RT, Dunbar RP, Bowen JD. The biceps squeeze test for diagnosis of distal biceps tendon ruptures. Clin Orthop Relat Res 2005; 437: 128-131 ; 25 OʼDriscoll SW, Goncalves LB, Dietz P. The hook test for distal biceps tendon avulsion. Am J Sports Med 2007; 35: 1865-1869 ; 26 Chew ML, Giuffre BM. Disorders of the distal biceps brachii tendon. Background Complete biceps tendon avulsions are frequently missed on clinical examination, suggesting the need for a reliable diagnostic test.

4. O’Driscoll SW The examiner hooks her or his index finger laterally around the distal biceps tendon to demonstrate its presence. The biceps squeeze test is similar to the Thompson test for Achilles tendon rupture. With external compression placed on the biceps muscle, the forearm is supinated if the biceps tendon is intact. The hook test was performed by a single surgeon in a cohort of 45 patients undergoing surgical exploration of the distal biceps tendon.
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Clin Orthop Rel Res. 2005;(437):128-131.

With this test, which is similar to the Thompson test11 used to aid in the diagnosis of an Achilles tendon rupture, the biceps brachii is The supination-pronation test properly isolates the distal biceps tendon and does not cause significant discomfort, which can be a problem with other physical examination tests for acute distal biceps ruptures. The squeeze test involves placing the patient in 60º to 80º of elbow flexion with the forearm pronated.
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Am J Sports Med 2007; 35:1865.