Biceps Load Test: A Clinical Test for Superior Labrum Anterior and Posterior Lesions in Shoulders With Recurrent Anterior Dislocations

We describe the biceps load test for evaluating the integrity of the superior glenoid labrum in shoulders with recurrent anterior dislocations. With the shoulder in an abducted, externally rotated position and the forearm supinated, active flexion of the elbow against resistance relieves the discomf...

Full description

Saved in:
Bibliographic Details
Published in:The American journal of sports medicine 1999-05, Vol.27 (3), p.300-303
Main Authors: Kim, Seung-Ho, Ha, Kwon-Ick, Han, Kye-Young
Format: Article
Language:English
Subjects:
Adolescent
Adult
Arm
Arm muscles
Biological and medical sciences
Double-Blind Method
Female
Humans
Investigative techniques, diagnostic techniques (general aspects)
Ligaments, Articular - injuries
Male
Medical examination
Medical sciences
Muscle, Skeletal - physiology
Muscles
Osteoarticular system. Muscles
Pathology. Cytology. Biochemistry. Spectrometry. Miscellaneous investigative techniques
Predictive Value of Tests
Sensitivity and Specificity
Shoulder
Shoulder Dislocation - diagnosis
Sports medicine
Testing
Tests
Tropical medicine
Weight-Bearing
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:We describe the biceps load test for evaluating the integrity of the superior glenoid labrum in shoulders with recurrent anterior dislocations. With the shoulder in an abducted, externally rotated position and the forearm supinated, active flexion of the elbow against resistance relieves the discomfort of a standard apprehension test for anterior shoulder instability. A group of 75 patients with proven unilateral anterior shoulder dislocations were prospectively examined in a double-blind fashion with arthroscopic examination and the biceps load test. Sixty-three patients had a negative test and 62 of these had an intact biceps tendon-superior labrum complex; the remaining patient had a type II superior labral anterior and posterior lesion. Twelve patients had positive tests, and 10 had superior labral lesions; the other 2 patients had intact superior labra. Therefore, the biceps load test revealed a sensitivity of 90.9%, a specificity of 96.9%, a positive predictive value of 83%, a negative predictive value of 98%, and a kappa coefficient of 0.846.
ISSN:0363-5465
1552-3365
DOI:10.1177/03635465990270030501