Gilchrest’s Sign

What is the “Gilchrest’s Sign” used for?

• Bicipital paratenonitis or tendinosis

How to perform the “Gilchrest’s Sign”?

• While standing, the patient lifts a 2-kg to 3-kg (5-lb to 7-lb) weight overhead. 
• The arm is laterally rotated fully and lowered to the side in the coronal plane.

What is the positive result?

• A positive test is indicated by discomfort or pain in the bicipital groove. 
• A positive test indicates bicipital paratenonitis or tendinosis.
• In some cases, an audible snap or pain may be felt at between 90° and 100° abduction.