Anterior Impingement Test for Labral Lesions Has High Positive Predictive Value

A meta-analysis examining clinical test utility for assessing superior labral anterior posterior lesions.

BACKGROUND The reported accuracy of clinical tests for superior labral anterior posterior lesions is extremely variable. Pooling results from multiple studies of higher quality is necessary to establish the best clinical tests to use. HYPOTHESIS Certain clinical tests are superior to others for diagnosing the presence or absence of a superior labral anterior posterior lesion. STUDY DESIGN M...

The resisted supination external rotation test: a new test for the diagnosis of superior labral anterior posterior lesions.

PURPOSE To evaluate a new clinical test, the resisted supination external rotation test, for the diagnosis of superior labral anterior posterior lesions of the shoulder. STUDY DESIGN Cohort study (diagnosis); Level of evidence, 2. METHODS Forty athletes (average age, 23.9 years) with activity-related shoulder pain were enrolled in the study. The patients underwent 3 different tests designed...

Superior Labral Anterior Posterior Lesions of the Shoulder

Superior labrum anterior and posterior (SLAP) lesion is of fairly recent description and its understanding is rapidly evolving. Its incidence and need for surgical treatment has increased exponentially in line with the increase in shoulder arthroscopies. It is of particular importance in the elite over head athlete and the young. A range of arthroscopic techniques and devices have been describe...

MR Arthrography: Superior Labral Anterior-Posterior (SLAP) Lesions

An evaluation of the anatomic basis of the O'Brien active compression test for superior labral anterior and posterior (SLAP) lesions.

It has been suggested that the positive position of the O'Brien test (shoulder flexion, horizontal adduction, and internal rotation) tensions the bicipital labral complex relative to the negative position (shoulder flexion, horizontal adduction, and external rotation). This study measured active and passive tension in the long head of biceps in the 2 positions of the O'Brien test to validate th...