Paxino's test: Difference between revisions
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'''Original Editor '''- [[User:Jessica Worrell|Jessica Worrell]] | '''Original Editor '''- [[User:Jessica Worrell|Jessica Worrell]] | ||
'''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} | ||
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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> | == Purpose == | ||
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<ref name="walton" /> == | == Technique<ref name="walton" /> == | ||
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*If pain is elicited or increased in the region of the acromioclavicular joint, the test is considered positive | *If pain is elicited or increased in the region of the acromioclavicular joint, the test is considered positive | ||
{{#ev:youtube|VwVMc9zsZAA}}< | {{#ev:youtube|VwVMc9zsZAA}}<ref>Paxino's Sign. Clinically Relevant Technologies. Accessed June 19, 2016 from https://www.youtube.com/watch?v=VwVMc9zsZAA</ref> | ||
== Evidence<ref name="walton" /> == | |||
<br> | {| cellspacing="1" cellpadding="1" border="1" style="width: 400px; height: 120px;" | ||
|- | |||
| Sensitivity (%) | |||
| 79 | |||
|- | |||
| Specificity (%) | |||
| 50 | |||
|- | |||
| Positive Predictive Value (%) | |||
| 61 | |||
|- | |||
| Negative Predictive Value (%) | |||
| 70 | |||
|- | |||
| Positive Likelihood Ratio | |||
| 1.58 | |||
|- | |||
| Negative Likelihood Ratio | |||
| 0.42 | |||
|} | |||
<br> | |||
== References == | |||
== References | |||
<references /> | <references /> | ||
[[Category:Special_Tests]] [[Category:Shoulder]] [[Category:EIM_Residency_Project]] [[Category:Assessment]] | [[Category:Assessment]] | ||
[[Category:Special_Tests]] | |||
[[Category:Shoulder - Special Tests]] | |||
[[Category:Shoulder - Assessment and Examination]] | |||
[[Category:Shoulder]] | |||
[[Category:Musculoskeletal/Orthopaedics]] | |||
[[Category:EIM_Residency_Project]] | |||
[[Category:CPA_Ortho_Div_Resources]] | |||
[[Category:Primary Contact]] | |||
[[Category:Sports Medicine]] | |||
[[Category:Athlete Assessment]] | |||
Latest revision as of 16:16, 29 August 2019
Original Editor - Jessica Worrell
Top Contributors - Jessica Worrell, Evan Thomas, Admin, Oyemi Sillo, Kim Jackson, Tony Lowe, Naomi O'Reilly, Kai A. Sigel, WikiSysop, Claire Knott and Wanda van Niekerk
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[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 |
References[edit | edit source]
- ↑ 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.
- ↑ Paxino's Sign. Clinically Relevant Technologies. Accessed June 19, 2016 from https://www.youtube.com/watch?v=VwVMc9zsZAA
