Bicipital Aponeurosis Flex Test

What is the "Bicipital Aponeurosis Flex Test" used for?

• Detecting Complete Distal Biceps Tendon Rupture.

How to perform the "Bicipital Aponeurosis Flex Test"?

• Patient is asked to make a fist and actively flex the wrist with a supinated forearm.
• While maintaining the flexed wrist and hand, the patient is asked to flex the elbow and maintain it in 75 degrees of flexion.
• The examiner palpates the medial part of the antecubital fossa for the sharp, thin edge of the aponeurosis.

What is the positive result?

• Absence of palpable sharp thin edge of the aponeurosis on the medial part of the antecubital fossa

Test Accuracy

• Sensitivity: 100%
• Specificity: 90 %

References

• Netter’s Orthopaedic Clinical Examination An Evidence-Based Approach 3rd Edition Book.