Which special test indicates a long head of the biceps tendon pathology?

Speed's Test is designed specifically to assess the condition of the long head of the biceps tendon. During this test, the patient is asked to flex the shoulder against resistance while the arm is positioned in an elevated and externally rotated position. If there is pain in the bicipital groove, it suggests pathology involving the long head of the biceps tendon, such as tendinitis or tears.

This test is particularly effective because it isolates the biceps tendon in a dynamic movement that places stress on the tendon specifically, making it more reliable for identifying pathologies associated with it. In contrast, other tests listed may evaluate different structures or conditions and thus do not specifically target the pathology of the long head of the biceps tendon.