Elbow Assessment

Ludington's Test | Proximal Biceps Tendon Rupture

Check our shop
Ludington's Test

Ludington’s Test | Proximal Long Head of the Biceps Tendon Rupture Assessment

Ludington’s Test is an orthopedic test used in the assessment of proximal biceps tendon ruptures.

If you’ve followed our channel for a while you may remember a series of videos on distal biceps tendon ruptures. However, it’s more prevalent that the proximal tendon of the long head of the biceps ruptures. One key feature is the popeyes sign that looks like this:

Poppeye sign
Gupta et al. (2013)

Ludington described a case study of a worker who felt a sharp pain in the anterior shoulder after lifting a crate. Suspecting a rupture of the proximal biceps tendon, he proposed a new test to assess the integrity of the long head of the biceps tendon. However, this method has never undergone diagnostic accuracy assessment, thus the clinical value remains questionable. 

To conduct the test, the patient is in sitting or standing position. The patient is asked to place their hands on their head and to interlock the fingers so they support the weight of the arms. In this position, the biceps can relax as much as possible. Place two fingers over each long biceps tendon and ask the patient to contract and relax both biceps simultaneously. 

In a positive test, the contraction is not felt on the affected side compared to the unaffected arm.

 

21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE

Physiotutors Free Assessment E-book

 

Other common orthopedic tests to assess for distal biceps tendon ruptures are:

 

References

Ludington, N. A. (1923). Rupture of the long head of the biceps flexor cubiti muscle. Annals of Surgery77(3), 358.

Gupta, S., Crocker, A., Scheirer, J., & Alweis, R. (2013). Images in clinical medicine: Popeye’s sign. Journal of Community Hospital Internal Medicine Perspectives3(2), 20688.

LIKE WHAT YOU’RE LEARNING?

BUY THE FULL PHYSIOTUTORS ASSESSMENT BOOK

  • 600+ Pages e-Book
  • Interactive Content (Direct Video Demonstration, PubMed articles)
  • Statistical Values for all Special Tests from the latest research
  • Clinical Value Recommendation
  • Detailed descriptions & searchable
  • Currently on Version 5.0 – Free lifetime updates
  • Available in 🇬🇧 🇩🇪 🇫🇷 🇪🇸 🇮🇹 🇵🇹 🇹🇷
  • And much more!
E-Book

ALL ORTHOPEDIC TESTS IN ONE PLACE

SEE ALL PRODUCTS
Assessment app banner
Assessment E-book
Reviews

What customers have to say about the Assessment E-Book

Wait before you leave! OPTIMIZE REHAB & RETURN TO SPORT AFTER ACL RECONSTRUCTION

Get this FREE WEBINAR & more
by ACL Rehab Expert Bart Dingenen