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Clinical Tests for Shoulder

Shoulderdoc
Medical Education
Clinical Tests for Shoulder
Shoulder Examination TestsShoulder Examination Tests
Anterior Apprehension TestAnterior Apprehension Test
Anterior Drawer TestAnterior Drawer Test
Biceps Load TestBiceps Load Test
Biceps Load Test 2Biceps Load Test 2
Empty Can/Full Can TestEmpty Can/Full Can Test
Hawkins-Kennedy TestHawkins-Kennedy Test
Inferior Sulcus TestInferior Sulcus Test
Jobe Relocation TestJobe Relocation Test
Lift-Off TestLift-Off Test
Load & Shift TestLoad & Shift Test
Neer Impingement SignNeer Impingement Sign
OBriens TestOBriens Test
Pain Provocation TestPain Provocation Test
Posterior Drawer TestPosterior Drawer Test
SLAPprehension TestSLAPprehension Test
Speeds TestSpeeds Test
Yergasons TestYergasons Test
The Shoulder Symptom Modification Procedure (SSMP)The Shoulder Symptom Modification Procedure (SSMP)



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Speeds Test

Jo Gibson

Speed's test was originally designed to assess for pathology of the long head of biceps in its groove but has also been utilised in the assessment for SLAP lesions.

Test

The patient's elbow is extended, forearm supinated and the humerus elevated to 60. The examiner resists humeral forward flexion.

Positive

Pain located to bicipital groove. This is commonly interpreted as suggestive of inflammation or lesions related to the long head of biceps or biceps/labral complex.

Research

Bennett's prospective study of all patients who presented with shoulder pain between Oct 1 sI 1994 - February 28 1995 correlated the clinical results of the Speed's test with biceps/labral pathology by direct arthroscopic visualisation.

46 shoulders in 45 patients were operated on during this time. Speed's test was positive in 40 shoulders. Biceps/labral pathology was present in 10 of these patients.

He concluded that the Speed's test is a non-specific but sensitive test for macroscopic biceps/labral pathology. However it is positive with a various number of other shoulder pathologies.

Specificity    Sensitivity   PPV    NPV
13.8%    90%   23%   83%
Superior Labral Antero-Posterior lesion - Abbreviated term for an injury to the superior labrum of the glenoid.
The labrum is a firm, white structure that forms a ring around the glenoid cavity (the cup of the ball and socket shoulder joint). It deepens the socket, providing stability to the joint.
bone of the upper arm - connecting the shoulder to the elbow
'key-hole' surgery. Surgery performed via small incisions, using special instruments and a viewing scope..


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