No tests for impingement or acromioclavicular ( AC ) joint pathology demonstrated significant diagnostic accuracy .
Based on pooled data , the diagnostic accuracy of the Neer test for impingement , the Hawkins-Kennedy test for impingement and the Speed test for labral pathology is limited .
Currently , almost without exception , there is a lack of clarity with regard to whether common OSTs used in clinical examination are useful in differentially diagnosing pathologies of the shoulder
OBJECTIVE To compile and critique research on the diagnostic accuracy of individual  orthopaedic physical examination tests in a manner that would allow clinicians to judge whether these tests are valuable to their practice .
Specificity of the Speed's test: arthroscopic technique for evaluating the biceps tendon at the level of the bicipital groove.
A positive Speed 's test result is usually thought to suggest inflammation or lesions related to the biceps/labral complex . The specificity , sensitivity , and positive and negative predictive values are determined for the Speed 's test . A prospect i ve study design was developed for all patients with shoulder pain who presented between October 1 , 1994 and February 28 , 1995 . The clinical results of the Speed 's test were correlated with biceps/labral pathology by direct arthroscopic visualization . A neuroprobe is used to pull the biceps tendon into the articular portion of the glenohumeral joint so as to visualize the biceps tendon at the level of the bicipital groove . Forty-six shoulders in 45 patients , 31 men ( average age , 53 years ; range , 16 to 76 years ) and 14 women ( average age , 64 years ; range , 30 to 80 years ) with 26 dominant and 20 nondominant extremities were operated on during this time interval . The clinical evaluation showed that the  speed 's test  was positive in 40 shoulders .  Biceps/labral complex pathology was present in 10 of these patients . A specificity of 13.8 % , a sensitivity of 90 % , a positive predictive value of 23 % , and a negative predictive value of 83 % were calculated . Thus , it is concluded that the Speed 's test is a nonspecific but sensitive test for macroscopic biceps/labral pathology . This clinical examination is positive with a various number of other pathological shoulder problems
No tests for impingement or acromioclavicular ( AC ) joint pathology demonstrated significant diagnostic accuracy .
Based on pooled data , the diagnostic accuracy of the Neer test for impingement , the Hawkins-Kennedy test for impingement and the Speed test for labral pathology is limited .
Currently , almost without exception , there is a lack of clarity with regard to whether common OSTs used in clinical examination are useful in differentially diagnosing pathologies of the shoulder
OBJECTIVE To compile and critique research on the diagnostic accuracy of individual  orthopaedic physical examination tests in a manner that would allow clinicians to judge whether these tests are valuable to their practice .