AccessPT Channel, Weekly Physical Therapy Conundrum

Solution to Bicipital Groove Tenderness

The correct answer is C. – Bicipital tendinopathy

Anterior joint instability has several features in common with bicipital tendinopathy – episodic pain in the anterior shoulder. However, the maximum point of apprehension and clicking with anterior instability is 90° of abduction and maximum external rotation.

A glenoid labrum tear typically occurs in athletes who throw, such as baseball players, and results in an audible or palpable clunk occurring as the tear flips in and out of the joint, impinging on a normal humeral head excursion during rotation above the horizontal plane

The symptoms of coracoid impingement syndrome are consistently provoked by forward flexion and internal rotation or abduction and internal rotation