目的: 通过肩关节镜检查验证发现的一个新的临床查体试验用于诊断肩关节上盂唇前后部复合体损伤(superior labrumanterior and posterior，SLAP) 方法: 在门诊选取因肩关节疼痛初次进行关节镜手术治疗的患者。术前均进行4项常用的SLAP损伤的临床检查法Speed、Yergason、O'Brien、及我们的新试验(Reverse Biceps Load test)在手术前进行检查做初步临床诊断。之后所有患者进行肩关节镜检查及治疗，术中镜下对SLAP损伤的患者进行记录并分型。 结果: 从2010年2月至2010年8月纳入大约有137名肩关节疼痛的患者，并且都是首次进行肩关节镜手术的检查及治疗，其中52名患者存在SLAP或二头肌长头腱的损伤。其中对于SLAP及二头肌腱的损伤，新试验敏感度76.92％，特异性为43.53％。当肩关节后伸，前部极度外旋时SLAP及二头肌长头腱处于高张力状态。此时轻微的外力就可诱发疼痛，因此新试验具有较高的敏感性，但此位置时前关节囊及部分肩袖亦处于高张力状态，所以特异性会受一定影响。 结论: 新试验对于SLAP及二头肌腱损伤有较高的敏感性，可以作为SLAP损伤的筛选试验运用于临床。

Objective:
To verify the effectiveness of a new clinical test we developed to diagnose the "SLAP Lesion" of the shoulder joint. Method:
137 cases with painful shoulders from Feb 2010 to Aug 2010, who underwent the primary arthroscopic surgery were selected. 4 clinical tests which include "Speed, Yergason, 0' Brein" , and a new test "Reverse Biceps Loading Test" we developed were used to give a primary diagnosis of the "SLAP Lesion ". Then the arthroscopic surgery was done, the "SLAP Lesion" was documented and classified during the arthroscopic. Result:
52 out of 137 cases were confirmed "SLAP Lesion" or biceps long head tendon tear, the sensitivity rate of the new test for the diagnosis is 76. 92%, the specificity rate is 43. 53%. The "SLAP" and biceps long head tendon were in higher tension condi- tion when the shoulder joint flexed backward and extreme lateral rotation, slightly force can induce pain, so the new test has a higher sensitivity, but the anterior capsule of the shoulder joint and part of rotator cuff were also in higher tension situa- tion, so the specificity was affected. Conclusions:
The new test has a higher sensitivity to diagnose "SLAP Lesion", and can be as a good screen test.