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Hook Test

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Other Names

  • Biceps hook test


  • Evaluate the distal Biceps Brachii tendon in patients with elbow or arm pain


The Biceps Hook Test
Clinical demonstration of the hook test[1]
  • The patient is seated or standing
  • They are asked to flex to 90°, fully supinate forearm
  • Examiner then uses index finger to hook the lateral edge of the biceps tendon.
  • Normal exam: finger can be inserted 1 cm beneath the tendon
  • Abnormal/ Positive
    • No cord-like structure under which the examiner may hook a finger



  • O'Driscoll et al[2]
    • Sensitivity: 100%
    • Specificity: 100%

See Also


  1. www.merckmanuals.com
  2. O'Driscoll SW, Goncalves LB, Dietz P. The hook test for distal biceps tendon avulsion. Am J Sports Med. 2007 Nov;35(11):1865-9. Epub 2007 Aug 8. PubMed PMID: 17687121.
Created by:
John Kiel on 19 November 2019 18:14:32
Last edited:
11 April 2023 15:00:17