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Paxinos Test

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Other Names

  • Paxino's Sign
  • Paxino's Test


Demonstration of Paxino's Test[1]


  • 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



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

See Also


  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
Last edited:
25 April 2023 17:37:58