What does a positive Speeds Test indicate?

A positive Speeds Test indicates long head of biceps tendinitis. This test is designed to evaluate the integrity of the long head of the biceps tendon, particularly at the shoulder joint. During the test, the athlete is usually asked to flex the shoulder against resistance, and pain or discomfort in the bicipital groove or anterior shoulder suggests the presence of inflammation or irritation in the tendon.

The reason this test is specifically linked to long head of biceps tendinitis is due to the anatomical pathway of the tendon and its role in shoulder function. When the tendon is under stress, as created by the test, inflammation or injury can cause pain, which is directly related to conditions such as tendinitis.

Other options do not align with the purpose of the Speeds Test; fractures, median nerve entrapment, and tendon ruptures are assessed by different clinical examinations and do not typically present with the same symptoms or pain patterns during the Speeds Test. This specificity is key in understanding the utility of the test in diagnosing shoulder conditions.