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The Bicipital Stress Test (BST): A maneuver to more accurately diagnose bicipital tendinitis and its referred pain patterns

Meredith E. Thomley

Statement of the Problem: Infl ammation of the bicipital tendon contributes heavily to shoulder joint morbidity. To date, diagnosis of bicipital tendinitis has relied on physical exam fi ndings, particularly Yergason’s sign and the Speed’s Test (ST). These tests have fallen out of fervent use due to their relative insensitivity. In this study, we introduce a novel diagnostic paradigm, the Bicipital Stress Test (BST), with improved sensitivity in comparison to previously standard tests.