Assessing the Biceps Tendon: The 411 on Speed's and Yergason's Tests

Which test assesses the biceps tendon in the shoulder?

• A. Speed's test
• B. Yergeson's test
• C. Both Speed's and Yergeson's test
• D. Hawkin's test

Answer: (C)

The assessment of the biceps tendon in the shoulder can be effectively performed using both Speed's test and Yergason's test. Speed's test involves the patient flexing their shoulder against resistance while keeping the elbow extended. This maneuver places tension on the biceps tendon, allowing the examiner to evaluate for pain or weakness, which may indicate biceps tendon pathology. Yergason's test assesses the stability of the biceps tendon within the bicipital groove. The patient’s elbow is flexed, and the examiner resists active supination of the forearm. Pain or a palpable click during this test suggests biceps tendon instability or inflammation. Since both tests are designed to elicit symptoms related to the biceps tendon, the correct answer reflects the necessity of both tests in providing a comprehensive evaluation of biceps tendon pathology in the shoulder.

Let’s talk about shoulder injuries—specifically, the biceps tendon! If you're gearing up to tackle the Comprehensive Osteopathic Medical Licensing Examination (COMLEX USA), understanding how to assess this little powerhouse is essential. Did you know that not one, but two tests will help you get the full picture? Yep, we’re diving into Speed's test and Yergason's test—each designed to evaluate the biceps tendon, one of the stars in your shoulder anatomy lineup.

But first, let’s set the scene. Imagine you're in the clinic, and a patient walks in clutching their shoulder, looking a bit pained. It’s your job to figure out whether their biceps tendon is working hard— or hardly working. Speed's test is your first tool in the toolbox. Picture this: the patient stands with their arm in front, elbow extended, while you resist their shoulder flexion. Feel that tension on the biceps tendon? That’s exactly what you're after! Why? Because pain or weakness during this test can signal a serious underlying issue with the biceps tendon itself.

Now, onto Yergason's test—think of it as a follow-up action. This test is all about the stability of that pesky tendon in its groove. With the elbow flexed, you’ve got to resist the patient as they try to supinate their forearm. If there’s pain or even a notable ‘click’, it might mean the tendon isn’t as stable as it should be. Phew! It’s a lot to remember, but it’s all connected.

The fabulous part? Both tests cover different angles of biceps tendon pathology, reinforcing the notion that you need to measure them side-by-side. Picture building a solid foundation for a house—both tests act as the beams and support beams. Too weak in one area, and the whole thing could come tumbling down, metaphorically speaking, of course.

Feeling overwhelmed? Take it easy! This knowledge comes with practice. Want a practical tip? Try simulating the tests with classmates. Not only will you reinforce your skills, but you’ll also create a collaborative learning environment. Plus, there’s strength in numbers—if someone’s got a different take on technique, take notes! It’s like building your own study manual right there in real-time.

So, when it’s time to answer questions about the biceps tendon on your exam, remember this: both Speed's and Yergason's tests work hand-in-hand. Together, they offer a comprehensive assessment of the biceps tendon. You’ll see them pop up frequently on your practice questions—get to know them well, and you’ll be ready when it counts. Keep pushing forward, stay curious, and lean on your resources—you’ve got this!