Title: Long head of biceps tendon (LHBT) Testing<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><p>
<strong>Long head of biceps tendon (LHBT) Testing</strong></p>
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Overhead activities can cause anterior shoulder pain due to LHBT instability. A review of 3 physical exam maneuvers for bedside evaluation.</p>
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<strong>Speed test</strong></p>
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Shoulder at 90° of flexion with arm fully supinated and elbow extended</p>
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Patient attempts to fwd. elevate arm against a downward force</p>
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Positive test is pain localized to bicipital groove.</p>
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Sensitivity 54% and specificity 81% for biceps pathology</p>
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<a href="https://youtu.be/N00gA4Pvsbw">https://youtu.be/N00gA4Pvsbw</a></p>
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<strong>Yergason test</strong></p>
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Elbow at 90° of flexion with arm fully pronated and held against thoracic wall. Examiner grips patient’s hand and resists attempts at supination.</p>
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Positive test is pain localized to bicipital groove or LHBT subluxation.</p>
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Sensitivity 41% and specificity 79% for biceps pathology</p>
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<a href="https://youtu.be/_ot2S75mZ3o">https://youtu.be/_ot2S75mZ3o</a></p>
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<strong>Upper Cut test</strong></p>
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Shoulder neutral with Elbow at 90° of flexion, arm fully supinated and hand in a fist. Patient moves hand toward chin in an uppercut motion like a boxer. Examiner places hand over patient’s fist and resists upward movement.</p>
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Positive test is pain localized to bicipital groove or LHBT subluxation.</p>
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Sensitivity 73%, specificity 78%, +LR 3.38 for biceps pathology</p>
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<a href="https://youtu.be/EE-WhlWFZvk">https://youtu.be/EE-WhlWFZvk</a></p>
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<fieldset><legend>References</legend>
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Comprehensive Examination of the Shoulder. Cotter et al., 2018. Sports Health</p>
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