Purpose: To identify individuals with a SLAP lesion.
Test Position: Supine.
Performing the Test: Place the tested extremity in 90 degrees of shoulder abduction and maximal shoulder external rotation. With the forearm pronated, the examiner resists contraction of the biceps. A positive test is discomfort in the shoulder.
Diagnostic Accuracy: Unknown.
Importance of Test:The mechanism of this test is to reproduce the position of the shoulder that stresses the superior labrum maximally - shoulder abduction with maximal external rotation. With the connection between the biceps tendon and superior labrum, contraction of the biceps can stress the labrum as well. By placing the biceps on stretch with forearm pronation, the superior labrum can be stressed maximally with the addition of a contraction of the biceps in this position.
Note: these tests should only be performed by properly trained health care practitioners.
Reference: Reinold, M. Two New Clinical Examination Tests to Detect a Superior Labral Tear/Slap Tear. Retrieved from: http://www.mikereinold.com/2008/11/two-new-clinical-examination-tests-to.html