Ruland Biceps Squeeze Test Home / Elbow Examination / Ruland Biceps Squeeze Test Published July 2, 2026 Read time 1 min read Readers 1 What is the "Ruland Biceps Squeeze Test" used for? Distal Biceps Avulsion How to perform the "Ruland Biceps Squeeze Test"? Elbow held in 60-80° of flexion with the forearm slightly pronated. One hand stabilizes the elbow while the other hand squeeze across the distal biceps muscle belly. What is the positive result? A positive test is failure to observe supination of the patient’s forearm or wrist. Test Accuracy Sensitivity: 96 % References Orthofixar | Ruland Biceps Squeeze Test Ruland, RT & Dunbar, Robert & Bowen, JD. (2005). The biceps squeeze test for diagnosis of distal biceps tendon ruptures. Clinical Orthopaedics and Related Research. 128-131. 10.1097/01.blo.0000167668.1844.f5. Link The biceps squeeze test for diagnosis of distal biceps tendon ruptures – PMID: 16056039