Supination Pronation Test | Distal Biceps Tendon Rupture Assessment
The 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 and the biceps squeeze test. Metzman et al. (2015) 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.
To conduct the test, the patient is asked to abduct the arms to 90°. If that is not possible, they may support them on the treatment bench. Then, the patient should flex the arm to around 70° and is instructed to pro and supinate the forearm. The examiner will observe the contours of the biceps, which should move proximally during supination and distally during pronation as seen in Kai here. It’s 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.
The test is considered positive for a distal biceps tendon rupture if migration of the biceps during pro and supination is absent.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Other common orthopedic tests to assess for distal biceps tendon ruptures are:
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
This content is for members
Create your free account to gain access to this exclusive content and more!
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.