Crossover Test
(Redirected from Cross Arm Test)
Other Names
- Cross–Over Impingement Test
- Horizontal Adduction Test
- Acromioclavicular Crossover Test
- Cross-Chest Test
- Crossbody Test
- Cross arm adduction impingement test
- Apley Crossed Arm Adduction Test
- Scarf Test
- Cross-Arm Test
- Horizontal Impingement Test
- Flexion Adduction Test
- Cross-body adduction
Purpose
- Primarily tests the Acromioclavicular Joint evaluating it as a cause of shoulder pain
Description
- Patient is seated.
- Place one hand on the posterior aspect of the patient's shoulder, the other hand on the patient's elbow
- Stabilize the patient's trunk and then passively and maximally horizontally adducts the test shoulder
- Positive test is anterior, superior or posterior shoulder pain
Pathology
- Acromioclavicular Joint Separation
- Acromioclavicular Joint Pain
- Acromioclavicular Joint Arthritis
- Anterior Pain
- Subscapularis
- Supraspinatus
- Biceps long head pathology
- Posterior Pain
- Infraspinatus
- Teres minor
- Posterior capsule pathology
- Subacromial Impingement Syndrome
Evidence
AC Joint as etiology
- Chronopoulos et al[4]
- Sensitivity: 77%
- Overall Accuracy: 79%
Rotator Cuff Disease
- Hermans et al [5]
- Sensitivity: 75%
- Specificity: 61%
- LR+: 1.9
- LR-: 0.42
See Also
References
- ↑ Manske, Robert, and Todd Ellenbecker. "Current concepts in shoulder examination of the overhead athlete." International journal of sports physical therapy 8.5 (2013): 554.
- ↑ Almoallim, Hani, et al. "Approach to Musculoskeletal Examination." Skills in Rheumatology (2021): 17-65.
- ↑ Buchberger, Dale J. "Introduction of a new physical examination procedure for the differentiation of acromioclavicular joint lesions and subacromial impingement." Journal of manipulative and physiological therapeutics 22.5 (1999): 316-321.
- ↑ Chronopoulos E, Kim TK, Park HB, Ashenbrenner D, McFarland EG. Diagnostic value of physical tests for isolated chronic acromioclavicular lesions. Am J Sports Med. 2004 Apr-May;32(3):655-61.
- ↑ Hermans, Job, et al. "Does this patient with shoulder pain have rotator cuff disease?: The Rational Clinical Examination systematic review." Jama 310.8 (2013): 837-847.
Created by:
John Kiel on 12 July 2019 19:15:30
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Last edited:
20 September 2025 00:46:27
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