Ludington’s test is a shoulder examination used to test for biceps tendon rupture.
- Seated patient instructed to interlock fingers behind their head then asked to contract & relax biceps one at a time.
- Examiner observes/palpates biceps.
Positive No contraction either observed or palpated → Bicipital tendon rupture, paralysis of the musculocutaneous nerve.
With a biceps tendon rupture observation of the arm should reveal a balling of the biceps muscle, weakness with muscle testing & associated ecchymosis & derma.