Biceps load (Kim) test one for SLAP lesion

The first biceps load test is intended to detect SLAP injuries in patients with chronic shoulder dislocation. The test is performed with the patient supine and the examiner seated alongside holding the patient's wrist and elbow. The patient's arm is positioned with the shoulder abducted 90 degrees to the side, the elbow flexed 90 degrees, and the arm fully supinated. The examiner then steadily rotates the shoulder externally in a manner similar to the apprehension test. Rotation is stopped when the patient feels as if the shoulder will dislocate. The patient then flexes the elbow while the examiner resists. The test is positive if the last maneuver provokes pain or continued apprehension about dislocation.