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Crossover Test

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Other Names

Crossover Test
  • 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


Clinical demonstration of the crossover or cross-arm test[1]


  • 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



AC Joint as etiology

  • Sensitivity: 77%[2]
  • Overall Accuracy: 79%

See Also


  1. Manske, Robert, and Todd Ellenbecker. "Current concepts in shoulder examination of the overhead athlete." International journal of sports physical therapy 8.5 (2013): 554.
  2. 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.
Created by:
John Kiel on 12 July 2019 19:15:30
Last edited:
25 July 2023 15:43:30