Paxino's test: Difference between revisions

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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" /><br> {{#ev:youtube|VGxl3oIj53Y}}<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" /><br>  
 


{{#ev:youtube|VGxl3oIj53Y}}<br>


== Evidence  ==
== Evidence  ==

Revision as of 01:05, 20 December 2014

Purpose
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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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References
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  1. 1.0 1.1 1.2 Walton A,Mahajan S, Paxinos A, Marshall J, Bryant C, Shnier R, Quinn R, Murrell R. Diagnostic values of tests for acromioclavicular joint pain. J Bone Joint Surg.2004;86(4):807-812.