Hook Test

Other Names

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Clinical demonstration of the hook test

Fig. 3-A The test should be performed with the elbow flexed to 90° and the arm in full supination. The examiner uses his or her finger to capture the lateral edge of the biceps tendon. Fig. 3-B Note the lack of the intact biceps tendon and the inability to "hook"

(A) abnormal hook test which was quite abnormal compared with the normal result on the other side (B)

• Biceps hook test
• Distal Biceps Hook Test
• Biceps Tendon Hook Test
• Hook Maneuver for Distal Biceps
• Elbow Hook Test
• O’Driscoll Hook Test

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Purpose

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

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Description

• 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

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Pathology

• Distal Biceps Tendon Injury

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Evidence

Distal Biceps Tendon Injury

• O'Driscoll et al
  • Sensitivity: 100%
  • Specificity: 100%

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See Also

• Physical Exam Elbow
• Elbow Pain (Main)
• Elbow Anatomy Main

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