Paxino's test: Difference between revisions

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'''Original Editor '''- [[User:Jessica Worrell|Jessica Worrell]]


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== Purpose<br> ==
== Purpose<br> ==


To detect the presence of acromioclavicular joint pain.<ref name="walton">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.</ref>
To detect the presence of acromioclavicular joint pain.<ref name="walton">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.</ref>  


== 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" />  


== Evidence ==
== Evidence ==


Sensitivity: .79  
Sensitivity: .79  
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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" />  


== Resources  ==
== Resources  ==
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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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== References  ==
== References  ==


References will automatically be added here, see [[Adding References|adding references tutorial]].  
References will automatically be added here, see [[Adding References|adding references tutorial]].  


<references />
<references />  


[[Category:Special Tests]]
[[Category:Special_Tests]] [[Category:Shoulder]] [[Category:EIM_Student_Project_2]][[Category:Articles]] [[Category:Assessment]]
[[Category:Shoulder]]
[[Category:EIM Student Project 2]]

Revision as of 14:24, 13 December 2009

Original Editor - Jessica Worrell

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

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]

Resources[edit | edit source]

add any relevant resources here

Recent Related Research (from Pubmed)[edit | edit source]

Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=18gXB4q-CV5m0kTKQ2BMz4VbRFSNrSZXUIX8XASMEvzJFMToG-|charset=UTF-8|short|max=10: Error parsing XML for RSS

References[edit | edit source]

References will automatically be added here, see adding references tutorial.

  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.