Paxino's test: Difference between revisions

m (Removed older video and replaced it with a video with better audiovisual quality)
No edit summary
Line 48: Line 48:
<references /> <br>  
<references /> <br>  


[[Category:Assessment]] [[Category:Special_Tests]] [[Category:Shoulder]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:EIM_Residency_Project]] [[Category:CPA_Ortho_Div_Resources]]
[[Category:Assessment]] [[Category:Special_Tests]] [[Category:Shoulder Special Tests]] [[Category:Shoulder]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:EIM_Residency_Project]] [[Category:CPA_Ortho_Div_Resources]]

Revision as of 19:23, 2 December 2017

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

[2]

Evidence[1][edit | edit source]

Sensitivity (%)         79
Specificity (%)         50
Positive Predictive Value (%)         61
Negative Predictive Value (%)         70
Positive Likelihood Ratio       1.58
Negative Likelihood Ratio       0.42

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

Failed to load RSS feed from http://www.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1fqLZM0XwJj5UJjczadTmapmiMAsyMGCtPySXCfc1W01HsX9r3: Error parsing XML for RSS

References[edit | edit source]

  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.
  2. Physiotutors. Paxino's Sign | Acromioclavicular Joint Pathology. Available from: https://www.youtube.com/watch?v=fiEeyT9VsCc