Bicipital Groove Tendonitis Test
Specificity of the speed s test.
Bicipital groove tendonitis test. The examiner brings the patients shoulder to 90 degrees of abduction and 90 degrees of external rotation. Pain in the bicipital groove indicating biceps tendinitis subluxation of the long head of the biceps brachii muscle and presence of a slap tear. Tenderness on palpation of the bicipital groove also indicates bicipital tendinitis. This test is used to check the ability of the transverse humeral ligament to hold the biceps tendon in the bicipital groove 1 patient sits while examiner stands in front.
Arthroscopic technique for evaluating the biceps tendon at the level of the bicipital groove. Biciptal tendinitis is a typical overuse sports injury and is common amongst athletes who perform an action that places strain on the shoulder. Dynamic tests for bicipital groove symptoms. A positive test is noted if the patient reports pain over the bicipital groove and or subluxation of the lhb tendon.
Palpating the biceps tendon as it passes through the bicipital groove to identify any. Here s how to do the yergason s test for slap lesion or biceps pathology which demonstrates as pain in the bicipital groove popping out of the biceps tendon and shoulder instability. When the therapist stops pushing down on the arm a sudden jerking motion may result. The tendon is exposed on the anterior shoulder as it passes through the humeral bicipital groove and inserts onto the superior aspect of the labrum of the glenohu.
With the arm supported the humerus is rotated internally. It identifies the presence of a pathology involving the biceps tendon or glenoid labrum the specific positive findings to the test include. Bicipital tendinitis or biceps tendinitis is an inflammatory process of the long head of the biceps tendon and is a common cause of shoulder pain due to its position and function. This website is powered by sportsengine s sports relationship management srm software but is owned by and subject to the physical therapy haven privacy policy.
Inflammation of the biceps tendon within the intertubercular bicipital groove is called primary biceps. Speed test the patient tries to flex the shoulder against resistance with the elbow extended and the forearm supinated9 20 figure 5. A positive test is pain radiating to the bicipital groove. Pain at this point may indicate a positive test for sub acromial bursitis.
The test is positive if bicipital groove pain is present.