Execution
- 1Position the patient supine.
- 2Place the shoulder in approximately 120° abduction with the forearm neutral.
- 3Externally rotate the shoulder to full available range.
- 4Hold the patient’s hand and ask the patient to supinate the forearm from neutral against resistance.
- 5Note whether pain increases during resisted supination.
Positive outcome
Increased pain during resisted forearm supination in the abducted and externally rotated position is positive for a SLAP lesion. The test loads the biceps-labrum complex in a provocative position.
Studies
| Study | Reliability | Sn | Sp | LR+ | LR− |
|---|---|---|---|---|---|
| Hegedus et al. (2012) | NA | NA | NA | NA | NA |
CommentMagee gives a clear procedure and positive criterion, but robust standalone diagnostic-accuracy data are limited. Because it resembles other peel-back / biceps-labrum loading tests, avoid double-counting it as independent evidence when several similar tests are positive. Use as a supportive provocation test.
Low Clinical Value