{"id":10638,"date":"2022-05-05T11:34:21","date_gmt":"2022-05-05T09:34:21","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&amp;p=10638"},"modified":"2022-05-05T11:34:21","modified_gmt":"2022-05-05T09:34:21","slug":"paxinos-sign","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/paxinos-sign\/","title":{"rendered":"Paxinos Sign"},"featured_media":10639,"template":"","class_list":["post-10638","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":10639,"background_image_alt_text":"Paxinos Sign"},"heading":"Paxinos Sign | AC Joint Pathology","subheading":"Shoulder Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Paxinos Sign | Acromioclavicular Joint Pathology Assessment<\/h2>\nPaxinos Sign is a common orthopedic test to assess for Acromioclavicular Joint Pathology. According to <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15069148\/\" target=\"_blank\" rel=\"noopener\">Walton et al. (2004)<\/a> the Paxinos Sign has sensitivity of 79% and the specificity of 50% which in our opinion gives it a weak clinical value.\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=fiEeyT9VsCc[\/embed]\n\n<\/div>\nTo conduct the tests the patient is in sitting position with the arm resting alongside the body. You're going to stand behind the patient on the symptomatic side that you want to examine. Place your hand over the shoulder in a way that the thumb rests under the posterior lateral aspect of the acromion and the index and long fingers superiorly to the mid part of the clavicle. Then apply pressure to the acromion with the thumb in the anterosuperior direction and inferior directed pressure on the clavicle shaft with the other fingers.\n\nThe test is considered positive if the pain is felt in the region of the AC joint.\n\n[cta]\n\nOther common orthopedic tests to assess for AC Joint Pathology are:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/cross-body-adduction-test\/\">Cross Body Adduction Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/OBrien-test\/\">Active Compression Test of O'Brien<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/ac-joint-line-tenderness\/\" target=\"_blank\" rel=\"noopener\">AC Joint Line Tenderness<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/ac-resisted-extension-test\/\">AC Joint Resisted Extension Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/ac-shear-test\/\">AC Shear Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/ac-joint-pain\/\">AC Joint Pain Cluster of Signs &amp; Symptoms<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/diagnosis-of-a-symptomatic-ac-joint\/\">AC Joint Provocation Cluster by Krill<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/ac-joint-cluster\/\">AC Joint Provocation Cluster by Chronopoulos<\/a><\/li>\n<\/ul>\n&nbsp;\n\n&nbsp;\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15069148\/\" target=\"_blank\" rel=\"noopener\">Walton J, Mahajan S, Paxinos A, Marshall J, Bryant C, Shnier R, Quinn R, Murrell GA. Diagnostic values of tests for acromioclavicular joint pain. JBJS. 2004 Apr 1;86(4):807-12.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/29210329\/\" target=\"_blank\" rel=\"noopener\">Krill MK, Rosas S, Kwon K, Dakkak A, Nwachukwu BU, McCormick F. A concise evidence-based physical examination for diagnosis of acromioclavicular joint pathology: a systematic review. The Physician and sportsmedicine. 2018 Jan 2;46(1):98-104.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">BUY THE FULL PHYSIOTUTORS <strong>ASSESSMENT BOOK<\/strong><\/p>\n\n<ul>\n \t<li>600+ Pages e-Book<\/li>\n \t<li>Interactive Content (Direct Video Demonstration, PubMed articles)<\/li>\n \t<li>Statistical Values for all Special Tests from the latest research<\/li>\n \t<li>Available in \ud83c\uddec\ud83c\udde7 \ud83c\udde9\ud83c\uddea \ud83c\uddeb\ud83c\uddf7 \ud83c\uddea\ud83c\uddf8 \ud83c\uddee\ud83c\uddf9 \ud83c\uddf5\ud83c\uddf9 \ud83c\uddf9\ud83c\uddf7<\/li>\n \t<li>And much more!<\/li>\n<\/ul>","button_type":"internal_link","button_label":"Check out our shop","button_style":"button-two","button_internal_link":4464,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""},{"acf_fc_layout":"review-slider","heading":"WHAT CUSTOMERS HAVE TO SAY ABOUT THE ASSESSMENT E-BOOK","image_shortcode":"","image":"","image_alt_text":"","shortcode":"[wprevpro_usetemplate tid=\"2\"]","button_type":"internal_link","button_label":"","button_style":"button-one","button_internal_link":"","button_anchor":"","button_url":"","button_file":null},{"acf_fc_layout":"cta-full-width-v2","logo":{"logo_image":22443,"logo_image_alt_text":""},"heading":"<strong>Download<\/strong> the free Physiotutors app now!","content_editor":"","download_image":{"download_image_image":22444,"download_image_image_alt_text":""},"mobile_download_image":{"mobile_download_image_image":22445,"mobile_download_image_image_alt_text":""},"download_image_link":"https:\/\/onelink.to\/6dtzk5","mockup_image":{"mockup_image_image":22447,"mockup_image_image_alt_text":""},"mobile_mockup_image":{"mobile_mockup_image_image":22446,"mobile_mockup_image_image_alt_text":""}}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Paxinos Sign | Acromioclavicular Joint Pathology Assessment<\/title>\n<meta name=\"description\" content=\"Paxinos Sign is a common orthopedic test to assess for Acromioclavicular Joint Pathology. 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