Speed's Test is used to assess Biceps Tendon pathology and may indicate SLAP lesion.

• A. Rotator Cuff tear
• B. AC joint pathology
• C. Impingement
• D. Biceps Tendon pathology with SLAP lesion

Answer: (D)

Speed's test loads the long head of the biceps tendon by resisting shoulder flexion with the elbow straight and the forearm supinated. A positive sign is pain or tenderness in the bicipital groove, which points to pathology of the biceps tendon itself, such as tendinopathy or tenosynovitis. Because the biceps tendon attaches at the superior part of the glenoid and blends with the superior labrum, inflammation or tearing in that region—i.e., a SLAP lesion—can elicit pain when the tendon is stressed. So this test is most informative for biceps tendon pathology and can indicate that a SLAP lesion may be present due to involvement of the biceps-labral complex. The other conditions—rotator cuff tears, AC joint pathology, or impingement—tend to produce pain patterns and positive signs on tests more specific to those structures, not primarily the biceps tendon load generated by Speed's test.