Functional evaluation in shoulder pathologies

Edited by Doctor Alessio Capobianco

Test for the long head of the bicep

1. Popeye's or Ludington's sign: it is performed by making the patient contract both biceps with the hands placed on the head; a distal retraction of the muscle belly or a lack of contraction is indicative of rupture of the long head of the biceps.

2. 

   Palm up (or Gillchrist maneuver): the subject with the elbow extended and the palm of the hand supinated must raise the limb the anterior flexion while the examiner counteracts the movement with a hand placed on the patient's palm; the test is considered positive if it causes pain (figure).
3. Yergason test: the patient is standing with the adducted arm at the side and forearm supinated, elbow flexed at 90 °; the examiner counteracts the further flexion of the forearm on the arm; the test is positive if it causes pain in the bicipital groove and indicates subluxation of the tendon.

Test for the glenoid labrum

1. O "Brien test: the patient is placed with the shoulder flexed 90 ° forward, elbow extended; must resist a downward thrust exerted by the "examiner, first in maximum internal rotation and then in maximum external rotation; the test is positive when it causes pain in the intrarotated limb and the pain decreases with an extrarotated limb, a sign of an" anomaly of the glenoid labrum ( figure).









2. Pain Provocation Test for SLAP: the patient's limb is raised up to 90-100 ° with the elbow flexed by 90 ° and the forearm pronated, then a supination of the forearm is performed and the patient is asked in which of the two positions he feels pain; if the pain occurs only or mainly in the pronated forearm, the positive test for upper lip injury is considered (figure).

Other articles on "Biceps Long Head Test - Glenoid Lip Test"

1. Rotator cuff test
2. Functional evaluation in shoulder pathologies
3. Conflict (or impigement) test
4. Test for instability