The Speed's test is a common orthopedic examination used to assess for potential biceps tendon pathology and/or SLAP lesions in the shoulder.
Essentially, the Speed's test helps clinicians determine if a patient's shoulder pain might be originating from issues with the biceps tendon or problems within the glenoid labrum (SLAP lesion). While originally designed to detect tenosynovitis (inflammation of the tendon sheath) of the long head of the biceps, it's now utilized to evaluate various biceps-related shoulder conditions.
Here's a breakdown of what the Speed's test entails:
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Purpose: To identify biceps tendinopathy or SLAP lesions in the shoulder.
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Procedure:
- The patient extends their arm straight out in front of them, with their palm facing upwards (supinated).
- The examiner resists the patient's attempt to raise their arm further upwards.
- The examiner looks for pain or weakness, specifically along the biceps tendon's path in the shoulder.
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Positive Result: Pain in the bicipital groove (the area where the biceps tendon runs in the shoulder) during resisted shoulder flexion.
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Interpretation: A positive Speed's test suggests possible pathology of the long head of the biceps tendon or a SLAP lesion. However, it's important to note that the Speed's test is not definitive and should be used in conjunction with other clinical findings and diagnostic tests to confirm a diagnosis.
It's crucial to understand that a positive Speed's test alone does not guarantee the presence of biceps tendinopathy or a SLAP lesion. Further evaluation, potentially including imaging like an MRI, is usually necessary to confirm the diagnosis and determine the best course of treatment. Other shoulder conditions can also elicit a positive response, underscoring the importance of a comprehensive shoulder examination.
