Title: Anterior shoulder pain<br/>Author: Brian Corwell<br/><a href='http://umem.org/profiles/faculty/294/'>[Click to email author]</a><hr/><p>
<span style="font-size:14px;">A 25 year old athlete presents to the ED with right anterior shoulder pain.</span></p>
<p>
<span style="font-size:14px;">Pain radiates into proximal biceps. </span></p>
<p>
<span style="font-size:14px;">It is worse with heavy lifting and especially “pulling” exercises at the gym.</span></p>
<p>
</p>
<p>
<span style="font-size:14px;">How do we evaluate for biceps tendonitis?</span></p>
<ol>
<li>
<span style="font-size:14px;">Tenderness to palpation in the bicipital groove</span></li>
<li>
<span style="font-size:14px;">Speed’s test</span></li>
<li>
<span style="font-size:14px;">Yergason’s test</span></li>
</ol>
<p>
</p>
<p>
<span style="font-size:14px;">Pathology is often the long head of the biceps</span></p>
<p>
<span style="font-size:14px;"><a href="https://physioworks.com.au/wp-content/uploads/2019/12/biceps-tendonitis.jpg">https://physioworks.com.au/wp-content/uploads/2019/12/biceps-tendonitis.jpg</a></span></p>
<p>
<span style="font-size:14px;">Start by palpating this area and attempt to reproduce the discomfort</span></p>
<p>
<span style="font-size:16px;"><strong>Speed’s test</strong></span></p>
<ul>
<li>
<span style="font-size:14px;">Arm is supinated and extended and elevated against examiner’s downward resistance</span></li>
<li>
<span style="font-size:14px;"><a href="https://youtu.be/N00gA4Pvsbw">https://youtu.be/N00gA4Pvsbw</a></span></li>
</ul>
<p>
</p>
<p>
<span style="font-size:16px;"><strong>Yergason’s test</strong></span></p>
<ul>
<li>
<span style="font-size:14px;">Arm is placed to patient’s side, in pronation and flexed to 90 degrees at elbow</span></li>
<li>
<span style="font-size:14px;">Patient attempts to supinate and externally rotate arm against resistance</span></li>
<li>
<span style="font-size:14px;"><a href="https://youtu.be/rQ2Mp6aSi88">https://youtu.be/rQ2Mp6aSi88</a></span></li>
</ul>
<p>
</p>
<p>
</p>