Indications:

Ludington’s test is a shoulder examination used to test for biceps tendon rupture.

Procedure:

  1. Seated patient instructed to interlock fingers behind their head then asked to contract & relax biceps one at a time.
  2. Examiner observes/palpates biceps.
Ludington's test

Seated patient instructed to interlock fingers behind their head then asked to contract & relax biceps one at a time. Examiner observes/palpates biceps.

Interpretation:

Positive No contraction either observed or palpated → Bicipital tendon rupture, paralysis of the musculocutaneous nerve.

Clinical notes:

With a biceps tendon rupture observation of the arm should reveal a balling of the biceps muscle, weakness with muscle testing & associated ecchymosis & derma.