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A 25 year old athlete presents to the ED with right anterior shoulder pain.
Pain radiates into proximal biceps.
It is worse with heavy lifting and especially “pulling” exercises at the gym.
How do we evaluate for biceps tendonitis?
- Tenderness to palpation in the bicipital groove
- Speed’s test
- Yergason’s test
Pathology is often the long head of the biceps
https://physioworks.com.au/wp-content/uploads/2019/12/biceps-tendonitis.jpg
Start by palpating this area and attempt to reproduce the discomfort
Speed’s test
- Arm is supinated and extended and elevated against examiner’s downward resistance
- https://youtu.be/N00gA4Pvsbw
Yergason’s test
- Arm is placed to patient’s side, in pronation and flexed to 90 degrees at elbow
- Patient attempts to supinate and externally rotate arm against resistance
- https://youtu.be/rQ2Mp6aSi88