The Yergason’s Test is used to test for biceps tendon pathologies, such as bicipital tendonitis and an unstable superior labral anterior-posterior (SLAP) lesion, and used to assess the ability of the transverse humeral ligament to hold the biceps tendon in the bicipital groove. Yergason’s was designed to assess for pathology in the long head of the biceps tendon in its sheath.
Test
The patient’s elbow is flexed and their forearm pronated. The examiner holds their arm at the wrist. The patient actively supinates against resistance.
Positive
Pain located in the bicipital groove area suggests pathology in the long head of the biceps in its sheath.A positive Speed’s test result is usually thought to suggest inflammation or lesions related to the biceps/labral complex. The specificity, sensitivity, and positive and negative predictive values are determined for the Speed test.
Research
Holtby and Razmjou performed a prospective blinded study of 152 consecutive patients with a wide spectrum of shoulder problems. The validity of the Yergason’s and Speed’s tests was evaluated against findings at the surgery. Surgical findings included bicipital tendonitis, 10 biceps partial tears, and 2 complete ruptures. 15 patients had SLAP lesions.
| Sensitivity | Specificity | PPV | NPV | |
| Yergason’s | 43% | 79% | 60% | 65% |
| Speed’s | 32% | 75% | 50% | 58% |
References



