Speed’s Test

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Patient Position

  • Seated

Procedure Steps

  • Patient’s arm is forward flexed to ~60°, elbow fully extended, and forearm supinated.
  • Examiner resists further forward flexion by the patient, by applying downward pressure on the forearm.

Positive Sign / Significance

  • Pain over the bicep tendon in the bicipital groove = Bicipital tendinitis or tear (long head of biceps)

Comments

  • May also cause vague shoulder pain with a superior labral anterior-posterior tear (SLAP lesion)

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