Hueter Sign

What is hueter Sign?

The hueter sign indicates rupture of the long head of the biceps tendon.

The procedure of performing the Hueter Sign

Position of the patient – The patient remains in a seated position.

Position of the Examiner – The examiner stands in front of the patient.

• The patient is in a seated position with his/her arm extended at the elbow and the forearm will be in a supination position.
• The examiner with his left hand grasps the posterior aspect of the patient’s forearm (patient wrist).
• And with the right-hand examiner stabilizes the patient’s non-affected shoulder.
• The examiner then asks the patient to flex the elbow against the resistance of the examiner’s hand.

Note – Stabilizing the non-affected shoulder helps in the stabilization of the body posture when the examiner asks the patient to flex the elbow against the resistance of his/her hand. Otherwise, non-stabilization of the non-affected shoulder will change the body posture when the examiner asks the patient to flex the elbow against the resistance of his/her hand. And this change in the body posture will affect the results of the test.

Test Results of the Hueter Sign

If there is a rupture of the long head of the biceps tendon, the distally displaced muscle belly can be observed or seen as a “ball” directly proximal to the elbow.

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Resources

Clinical Tests for the Musculoskeletal System: Examinations-Signs-Phenomena by K. Buckup