{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T19:28:37Z","timestamp":1773602917508,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2008,1,31]],"date-time":"2008-01-31T00:00:00Z","timestamp":1201737600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2008,1,31]],"date-time":"2008-01-31T00:00:00Z","timestamp":1201737600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthroscopy"],"published-print":{"date-parts":[[2008,5]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study describes a new test to detect SLAP lesions. The sensitivity, specificity, and positive and negative predictive values with respect to the diagnosis of a SLAP lesion were determined in comparison to Speed's test and the O'Brien test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>One hundred fifty patients presenting for arthroscopic surgery with persisting pain or functional disability of the shoulder underwent a complete shoulder examination. All patients underwent Speed's test, the O'Brien test, and the new supine flexion resistance test. The clinical results of the tests were correlated with the presence of a SLAP lesion by direct arthroscopic visualization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The supine flexion resistance test had a sensitivity of 80% and a specificity of 69%, whereas Speed's test and the O'Brien test had sensitivities of 60% and 94%, respectively, and specificities of 38% and 28%, respectively. Regarding isolated SLAP lesions, the supine flexion resistance test was highly sensitive, with a sensitivity of 92% (58% for Speed's test and 75% for the O'Brien test). For isolated tears of the supraspinatus, the specificity of the supine flexion resistance test was 75% (14% for Speed's test and 17% for the O'Brien test).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Compared with the O'Brien test and Speed's test, the supine flexion resistance test proves to be more specific, with a specificity of 69% for the whole study population (28% for the O'Brien test and 38% for Speed's test) and with a specificity of 75% for the group of patients with isolated supraspinatus lesions (17% for the O'Brien test and 14% for Speed's test). The new test is a useful and effective test for detecting type II SLAP lesions. The high specificity enables the elimination of false\u2010positive results of other clinical tests that are more sensitive but not specific.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level II, development of diagnostic criteria with consecutive patients and universally applied gold standard.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.arthro.2007.11.017","type":"journal-article","created":{"date-parts":[[2008,1,31]],"date-time":"2008-01-31T11:22:40Z","timestamp":1201778560000},"page":"500-505","source":"Crossref","is-referenced-by-count":49,"title":["A New SLAP Test: The Supine Flexion Resistance Test"],"prefix":"10.1002","volume":"24","author":[{"given":"Nina","family":"Ebinger","sequence":"first","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petra","family":"Magosch","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Lichtenberg","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Habermeyer","sequence":"additional","affiliation":[{"name":"Department of Shoulder and Elbow Surgery ATOS Clinic Heidelberg 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