Paxino's test

Original Editor - Jessica Worrell

Top Contributors - Jessica Worrell, Evan Thomas, Oyemi Sillo, Kim Jackson and Tony Lowe


To detect the presence of acromioclavicular joint pain.[1]


  • 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


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


  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. Paxino's Sign. Clinically Relevant Technologies. Accessed June 19, 2016 from