Paxino's test: Difference between revisions
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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< | == Technique<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 | *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 middle fingers of the same (or contralateral) hand are placed superior to the mid-clavicle | ||
*The examiner provides pressure to the acromion in an anterosuperior direction with the thumb, while also applying pressure an inferior direction to the mid-clavicle with the index and middle fingers | |||
*If pain is elicited or increased in the region of the acromioclavicular joint, the test is considered positive | |||
{{#ev:youtube|VwVMc9zsZAA}}<br> | {{#ev:youtube|VwVMc9zsZAA}}<br> | ||
Revision as of 22:03, 19 June 2016
Original Editor - Jessica Worrell
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Purpose
[edit | edit source]
To detect the presence of acromioclavicular joint pain.[1]
Technique[1][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 middle fingers of the same (or contralateral) hand are placed superior to the mid-clavicle
- The examiner provides pressure to the acromion in an anterosuperior direction with the thumb, while also applying pressure an inferior direction to the mid-clavicle with the index and middle fingers
- If pain is elicited or increased in the region of the acromioclavicular joint, the test is considered positive
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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