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The test was devised in 1931 for detecting bicipital tendonitis. It is however now clear that the pain may arise from tenosynovitis, tendinopathy, or a SLAP lesion. It also assesses the ability of the transverse humeral ligament to hold the biceps tendon in the bicipital groove.
The Yergason’s test was primarily designed to test the transverse humeral ligament, which holds a long biceps tendon in the bicipital groove. According to the RCT by Micheroli et al. (2015) it has a sensitivity of 32% and a specificity of 88% for biceps pathology.
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The physical examination: A combination of two sensitive tests and one specific test is useful to diagnose a SLAP lesion. Sensitive tests include: Compression rotation test; O’Briens test; Apprehension Test; Specific tests include: Speed’s test; Yergason’s test; Biceps load test II
Only Yergason's test showed a statistically significant positive likelihood ratio for the diagnosis of superior labral antero-posterior lesions of the shoulder. However, the value of this positive likelihood ratio suggested that a positive test result only slightly increase the likelihood that a superior labral antero-posterior lesion was present.
YERGASON'S TEST FOR SLAP LESIONS. Primarily designed to test for the integrity of the transverse humeral ligament, this test is now more commonly used to detect SLAP lesions. While this test has the highest specificity in the literature amongst all SLAP tests with 95%, the low sensitivity of this test (12%) minimizes its clinical value.
7 lis 2021 · The Yergason's Test is used to test for biceps tendon pathology, such as bicipital tendonitis and an unstable superior labral anterior posterior (SLAP) lesion.The patient should be seated or standing in the anatomical position, with the humerus in a neutral position and the elbow in 90 degrees of flexion in a pronated position.
