Paxino's test: Difference between revisions
No edit summary |
No edit summary |
||
Line 1: | Line 1: | ||
<div class="editorbox"> | <div class="editorbox"> | ||
'''Original Editor '''- | '''Original Editor '''- [[User:Jessica Worrell|Jessica Worrell]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
</div> | </div> | ||
== 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 | ||
Line 24: | Line 24: | ||
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 == | ||
Line 32: | Line 32: | ||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | ||
<div class="researchbox"> | <div class="researchbox"> | ||
<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 == | ||
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: | [[Category:Special_Tests]] [[Category:Shoulder]] [[Category:EIM_Student_Project_2]][[Category:Articles]] [[Category:Assessment]] | ||
[[Category:Shoulder]] | |||
[[Category: |
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.