Paxino’s Sign is a common orthopedic test to assess for Acromioclavicular Joint Pathology. According to Walton et al. (2004) the Paxino Sign has sensitivity of 79% and the specificity of 50% which in our opinion gives it a weak clinical value.
To 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.
The test is considered positive if pain is felt in the region of the AC joint.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
Other common orthopedic tests to assess for AC Joint Pathology are:
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