Passive Forearm Pronation Test
Other Names
- Passive Forearm Pronation Test
- PFP Test
- Forearm Supination Pronation Test
- Passive Pronation Test
- Forearm Passive Pronation Test
- Passive Pronation Maneuver
- Passive Forearm Rotation Test
- Distal Biceps Passive Pronation Test
- Passive Pronation Stress Test
- Passive Forearm Pronation Maneuver
Purpose
- Evaluate the integrity of the distal insertion biceps brachii tendon as a cause of elbow pain
- Originally described by Harding in 2005[2]
Description
Anatomic Basis
- Normally, with the elbow flexed to 90 degrees and in neutral rotation
- Supination and pronation will results in movement of the biceps brachii muscle belly
- Supination will cause it to move proximally
- Pronation will cause it to move distally
Technique
- Start with the elbow bent to 90 degrees
- Place the forearm in pronation, and then supinate
- Repeat this maneuver a few times
- Positive test
- No movement of the biceps muscle belly
Pathology
Evidence
- Devereaux et al[3]
- Sensitivity: 9%
- Specificity: 100%
See Also
References
- ↑ Romeo, Anthony A., Brandon J. Erickson, and Justin W. Griffin, eds. The management of biceps pathology: a clinical guide from the shoulder to the elbow. Springer Nature, 2021.
- ↑ 2.0 2.1 Harding, Warren G. "A new clinical test for avulsion of the insertion of the biceps tendon." Orthopedics 28.1 (2005): 27-29.
- ↑ Devereaux, Moira W., and Amr W. ElMaraghy. "Improving the rapid and reliable diagnosis of complete distal biceps tendon rupture: a nuanced approach to the clinical examination." The American Journal of Sports Medicine 41.9 (2013): 1998-2004.
Created by:
John Kiel on 29 December 2025 20:11:58
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Last edited:
30 March 2026 23:43:01
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