Biceps Load II Test

Performance of the Test

The patient is in the supine position with the shoulder in 120 degrees of elevation and full external rotation, while the elbow is in 90 degrees of flexion, and the forearm in supination. The patient is then asked to flex the elbow as the clinician provides resistance.[1]


Purpose of the Test

The Biceps Load II test is designed to detect SLAP lesions in the shoulder.[1]

Positive Test

A positive test is defined as pain experienced during resisted elbow flexion or pain exacerbation during resisted elbow flexion.[1]

Diagnostic Properties[1]

Sensitivity: 0.897

Specificity: 0.966

Positive Likelihood Ratio: 30

Negative Likelihood Ratio: 0.10

Reliability: Kappa = 0.815


  1. 1.0 1.1 1.2 1.3 Kim SH, Ha KI, Ahn JH, Kim SH, Choi HJ. Biceps load test II: a clinical test for SLAP lesions of the shoulder. Arthroscopy 2001 February; 17(2):160-164.
  2. Clinically Relevant Technologies,; Accessed May 2011