Yergason's Test: No popping but pain indicates Bicipital Tendinopathy.

• A. Bicipital Tendinopathy
• B. Biceps Tendon Tear
• C. SLAP Lesion
• D. AC Joint pathology

Answer: (A)

Yergason's test directly loads the long head of the biceps tendon as it moves through the bicipital groove during resisted forearm supination with the elbow flexed. If the tendon is irritated or inflamed, this maneuver causes pain in the bicipital groove because the tendon is being stressed within its irritated environment. The absence of a popping or snapping sensation suggests there isn’t a subluxation or dislocation of the tendon from the groove, which would point toward a tendon instability rather than a simple tendinopathy. So, pain without popping during this test best indicates bicipital tendinopathy.

Biceps tendon tear often presents with more than just pain—it can show weakness or a visible deformity (Popeye sign) if the long head is ruptured. A SLAP lesion typically produces deep shoulder pain more broadly and is better suggested by other tests. AC joint pathology usually causes pain at the top of the shoulder near the AC joint, especially with cross-body maneuvers, not the localized bicipital groove pain elicited by this test.