Hook Test

Execution:

  1. Patient is in standing or sitting
  2. The patient is asked to actively flex the elbow to 90° and to fully supinate the forearm
  3. The examiner hooks his index finger underneath the patient’s distal biceps tendon from laterally for at least 1cm and pulls it foreward vigorously

 

Positive Outcome: If the distal biceps tendon is avulsed, the examiner is not able to hook his index finger under the distal biceps tendon.
If pain is elicited upon pulling the tendon forward, a partial tear might be suspected

 

Study

Reliability Sn Sp LR+

LR-

O’Driscoll et al. (2007)

NA

100 100

    ∞

Devereaux et al. (2013)

NA

81 100

0,19