Elbow Hook Test
Purpose[edit | edit source]
Hook Test is a clinical examination to access the Distal Biceps tendon Rupture.
Technique[edit | edit source]
Step 1. Patient position in sitting or standing position.
Step 2. Patient shoulder is abducted to 90 degree, with the elbow is flexed to 90 degree, then forearm supinated facing thump upward.
Step 3. Patient actively supinate the arm against resistance applied by examiner, then the examiner to hook his index finger under the intact biceps tendon from the lateral side.
Step 4. Positive test indicating distal avulsion, there is no cord-like structure under which the examiner may hook a finger.
Step 5. Comparison can be done with the contralateral elbow.
Evidence[edit | edit source]
Sensitivity and Specificity of both test is 100%.[1]
- ↑ O'Driscoll SW, Goncalves LB, Dietz P. The hook test for distal biceps tendon avulsion. Am J Sports Med. 2007 Nov;35(11):1865-9. doi: 10.1177/0363546507305016. Epub 2007 Aug 8. PMID: 17687121.
