What pathology does Ludington's Test evaluate?

Ludington's Test is specifically designed to evaluate biceps tendon pathology. During this test, the patient is asked to clasp their hands behind their head, which allows the examiner to palpate the biceps tendon in the groove. By having the patient alternately contract and relax the biceps muscle, the examiner observes any abnormal movement or tenderness, which can indicate issues such as tendonitis, subluxation, or tearing of the biceps tendon. This test is particularly useful in distinguishing between biceps tendon issues and other shoulder pathologies, thus emphasizing its focus on the biceps tendon rather than the surrounding muscles or related structures.