Paxino's test: Difference between revisions
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'''Original Editor '''- [[User:Jessica Worrell|Jessica Worrell]] | '''Original Editor '''- [[User:Jessica Worrell|Jessica Worrell]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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== Purpose<br> == | == Purpose<br> == | ||
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== Technique<br> == | == Technique<br> == | ||
With the patient sitting and the symptomatic arm by the side, the examiner's thumb is placed under the posterolateral aspect of the acromion and the index and long fingers of the same (or contralateral) hand are placed superior to the mid-clavicle. The examiner provides pressure to the acromion in an anteriorsuperior direction with the thumb and to the mid-clavicle in an inferior direction with the index and long fingers. If pain is elicited or increased in the region of the acromioclavicular joint the test is considered positive.<ref name="walton" /> | With the patient sitting and the symptomatic arm by the side, the examiner's thumb is placed under the posterolateral aspect of the acromion and the index and long fingers of the same (or contralateral) hand are placed superior to the mid-clavicle. The examiner provides pressure to the acromion in an anteriorsuperior direction with the thumb and to the mid-clavicle in an inferior direction with the index and long fingers. If pain is elicited or increased in the region of the acromioclavicular joint the test is considered positive.<ref name="walton" /><br> {{#ev:youtube|VGxl3oIj53Y}}<br> | ||
== Evidence == | == Evidence == | ||
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Positive Likelihood Ratio: 1.58 | Positive Likelihood Ratio: 1.58 | ||
Negative Likelihood Ratio: .42<ref name="walton" /> | Negative Likelihood Ratio: .42<ref name="walton" /><br> | ||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
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<rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=18gXB4q-CV5m0kTKQ2BMz4VbRFSNrSZXUIX8XASMEvzJFMToG-|charset=UTF-8|short|max=10</rss> | <rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=18gXB4q-CV5m0kTKQ2BMz4VbRFSNrSZXUIX8XASMEvzJFMToG-|charset=UTF-8|short|max=10</rss> | ||
</div> | </div> | ||
== References == | == References<br> == | ||
<references /> | <references /> | ||
[[Category:Special_Tests]] [[Category:Shoulder]] [[Category:EIM_Residency_Project]] | [[Category:Special_Tests]] [[Category:Shoulder]] [[Category:EIM_Residency_Project]] [[Category:Assessment]] | ||
Revision as of 01:05, 20 December 2014
Original Editor - Jessica Worrell
Top Contributors - Jessica Worrell, Evan Thomas, Admin, Oyemi Sillo, Kim Jackson, Tony Lowe, Naomi O'Reilly, Kai A. Sigel, WikiSysop, Claire Knott and Wanda van Niekerk
Purpose
[edit | edit source]
To detect the presence of acromioclavicular joint pain.[1]
Technique
[edit | edit source]
With the patient sitting and the symptomatic arm by the side, the examiner's thumb is placed under the posterolateral aspect of the acromion and the index and long fingers of the same (or contralateral) hand are placed superior to the mid-clavicle. The examiner provides pressure to the acromion in an anteriorsuperior direction with the thumb and to the mid-clavicle in an inferior direction with the index and long fingers. If pain is elicited or increased in the region of the acromioclavicular joint the test is considered positive.[1]
Evidence[edit | edit source]
Sensitivity: .79
Specificity: .50
Positive Predictive Value: .61
Negative Predictive Value: .70
Positive Likelihood Ratio: 1.58
Negative Likelihood Ratio: .42[1]
Recent Related Research (from Pubmed)[edit | edit source]
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