{"id":11562,"date":"2022-08-24T11:34:18","date_gmt":"2022-08-24T09:34:18","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=11562"},"modified":"2022-08-24T11:34:18","modified_gmt":"2022-08-24T09:34:18","slug":"supination-pronation-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/supination-pronation-test\/","title":{"rendered":"Supination Pronation Test"},"featured_media":11563,"template":"","class_list":["post-11562","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":11563,"background_image_alt_text":"Supination Pronation Test"},"heading":"Supination Pronation Test | Distal Biceps Tendon Ruptures","subheading":"Elbow Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Supination Pronation Test | Distal Biceps Tendon Rupture Assessment<\/h2>\nThe Supination Pronation Test is an orthopedic test used in the assessment of distal biceps tendon ruptures. If you follow us closely you know we have covered two other tests for distal biceps tendon ruptures: The hook test<\/a> and the biceps squeeze test<\/a>. Metzman et al. (2015)<\/a> argue that these tests may not be suitable in an acute situation due to their provocative nature, which is why they propose the supination-pronation test. While they reliably diagnosed complete ruptures in 5 patients as confirmed with MRI and surgical exploration, the test has not been subject to diagnostic accuracy studies which is why its clinical value remains questionable.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=npC5PGq3n08[\/embed]\n\n<\/div>\nTo conduct the test, the patient is asked to abduct the arms to 90\u00b0. If that is not possible, they may support them on the treatment bench.\nThen, the patient should flex the arm to around 70\u00b0 and is instructed to pro and supinate the forearm.\nThe examiner will observe the contours of the biceps, which should move proximally during supination and distally during pronation as seen in Kai here. It\u2019s advised to compare the visual with the unaffected side and if the contours of the muscle are hard to identify, the muscle belly may be palpated for movement.\n\nThe test is considered positive for a distal biceps tendon rupture if migration of the biceps during pro and supination is absent.\n\n \n\n[cta]\n\n \n\nOther common orthopedic tests to assess for distal biceps tendon ruptures are:\n