{"id":11553,"date":"2022-08-24T11:13:11","date_gmt":"2022-08-24T09:13:11","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=11553"},"modified":"2022-08-24T11:13:11","modified_gmt":"2022-08-24T09:13:11","slug":"tilt-sign","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/tilt-sign\/","title":{"rendered":"Tilt Sign"},"featured_media":11554,"template":"","class_list":["post-11553","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":11554,"background_image_alt_text":"Tilt Sign"},"heading":"Tilt Sign | Distal Biceps Tendon Rupture Assessment | Biceps Tear","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":"

Tilt Sign | Distal Biceps Tendon Rupture Assessment | Biceps Tear<\/h2>\nOn\u00a0our website you will find several tests used in\u00a0the diagnosis of complete distal biceps tendon\u00a0ruptures. Partial tears of the distal tendon\u00a0are more subtle in their presentation which is\u00a0why Shim et al. (2017) proposed the tilt sign.\n\nIn their case reports, they have found it to be\u00a0100% specific in detecting a partial tear of\u00a0the distal biceps tendon when compared with MRI\u00a0imaging. But as it's a novel test that has not\u00a0been investigated in diagnostic accuracy studies,\u00a0the clinical value er remains questionable for\u00a0now.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=kEEMNLLN7QI[\/embed]\n\n<\/div>\nTo conduct the test the patient is in standing or sitting position and is asked to flex the elbow to 90\u00b0. Then, locate the head of the radius and you can do this by alternating supination and pronation. Then, fully pronate the forearm and move approximately 2.5cm or 1 inch distally to the region of the radial tuberosity which is the attachment site of the biceps. It's essential to fully pronate the forearm, as this will rotate the radius so that the radial tuberosity lies directly under your palpating finger. Then, palpate the radial tuberosity.\n\nA positive test will result in tenderness upon palpation over the radial tuberosity because if there is a partial tear of the biceps tendon there will typically be inflammation which will evoke pain.\n\n \n\n[cta]\n\n \n\nOther common orthopedic tests to assess for distal biceps tendon ruptures are:\n