General practice & primary care · UKMLA & AKT
Biceps tendinopathy and rupture
A free high-yield preview for the UKMLA Applied Knowledge Test, covering how to recognise this condition. The full SA Note notes add investigations, management and complications, with practice questions on this topic.
Key high-yield points
- Speed's test - resist shoulder flexion with elbow extended, forearm supinated; pain at bicipital groove = positive (tendinopathy)
- Yergason's test - resist forearm supination with elbow at 90°; pain or tendon subluxation at groove = positive (tendinopathy)
- Hook test - elbow flexed 90°, forearm supinated; examiner tries to hook finger behind lateral biceps tendon in antecubital fossa; inability to hook = complete distal rupture
The hook test is the most reliable bedside test for distal biceps tendon rupture - if no cord is palpable, refer urgently to orthopaedics.
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