We need you! See something you could improve? Make an edit and help improve WikSM for everyone.

Paxinos Test

From WikiSM
Jump to: navigation, search


Other Names

  • Paxino's Sign
  • Paxino's Test

Purpose

Demonstration of Paxino's Test[1]

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[2]
    • Sensitivity: 79%
    • Specificity: 50%
    • PPV: 61%
    • NPV: 70%
    • LR+: 1.58
    • LR-: 0.42

See Also


References

  1. Image courtesy of https://musculoskeletalkey.com/, "Disorders of the Acromioclavicular Joint"
  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.
Created by:
John Kiel on 7 August 2019 21:40:40
Authors:
Last edited:
25 April 2023 17:37:58
Category: