Paxinos Test
(Redirected from Paxino's Test)
Other Names
- Paxino's Sign
- Paxino's Test
- Paxinos Sign Test
- Paxinos sign
- Paxinos maneuver
- AC joint compression test (Paxinos variant)
- Acromioclavicular joint compression test
- AC joint stress test
- AC joint shear test
Purpose
- Evaluate the Acromioclavicular Joint as a cause of the patients shoulder pain
Description
- The patient is seated, affected arm resting at patients side
- Examiner places 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 then applies pressure to the acromion in anterorsuperior while simultaneously applying inferiorly directed pressure at the mid clavicle with the index and middle finger
- Positive test:
- Pain at the AC joint
Pathology
Evidence
- Walton et al[4]
- Sensitivity: 79%
- Specificity: 50%
- PPV: 61%
- NPV: 70%
- LR+: 1.58
- LR-: 0.42
See Also
References
- ↑ Image courtesy of https://musculoskeletalkey.com/, "Disorders of the Acromioclavicular Joint"
- ↑ Image courtesy of musculoskeletalkey.com
- ↑ Yiannakopoulos, Christos K. "Osteolysis of the Distal End of the Clavicle." Shoulder Arthroscopy: Principles and Practice. Berlin, Heidelberg: Springer Berlin Heidelberg, 2023. 703-726.
- ↑ 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.
Created by:
John Kiel on 7 August 2019 21:40:40
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Last edited:
12 April 2026 13:16:52
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