Abstract

Provocative tests are useful in diagnosing biceps tendon tendinitis. This is the first study to establish the reliability of these tests by comparing the resuts with musculoskeletal ultrasound (US) findings. This study examined 125 patients (69 women and 56 men) and 143 shoulders with shoulder pain. Yergason's test, Speed's test and a bicipital groove tenderness test were performed and musculoskeletal US findings were used as standard reference. Biceps tendon tendinitis was diagnosed with US in 39.1% of the patients and, of those, 55.3% had coexisting rotator cuff injury. The sensitivity and specificity of Yergason's test were 32% and 78%, respectively. The sensitivity and specificity of Speed's test were 63% and 58%, respectively. In conclusion, all three tests are limited by poor sensitivity. US can be an image modality choice in diagnosing biceps pathology.

Original languageEnglish
Pages (from-to)1392-1398
Number of pages7
JournalUltrasound in Medicine and Biology
Volume37
Issue number9
DOIs
Publication statusPublished - Sep 2011

Fingerprint

physical examinations
Tendinopathy
Tendons
Physical Examination
Sensitivity and Specificity
Shoulder Pain
Pathology
tendons
shoulders
sensitivity
cuffs
pain
pathology
grooves

Keywords

  • Biceps tendinitis
  • Biceps tenosynovitis
  • Bicipital groove tenderness
  • Musculoskeletal ultrasound
  • Rotator cuff injury
  • Speed's test
  • Yergason's test

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology
  • Biophysics

Cite this

A Comparison of Physical Examinations with Musculoskeletal Ultrasound in the Diagnosis of Biceps Long Head Tendinitis. / Chen, Hung Sheng; Lin, Shu Hsien; Hsu, Yen Hsia; Chen, Shih Ching; Kang, Jiunn Horng.

In: Ultrasound in Medicine and Biology, Vol. 37, No. 9, 09.2011, p. 1392-1398.

Research output: Contribution to journalArticle

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