Shoulder Orthopaedic Test: Paxino's Test
Jun 12, 2023The Paxinos sign test is a physical examination maneuver used to assess for acromioclavicular joint pathology, specifically for separation or dislocation of the joint.
Procedure:
- Ask the patient to sit comfortably with the affected arm relaxed at the side.
- Stand behind the patient and grasp their elbow with one hand.
- With your other hand, grasp the acromion (the bony prominence at the top of the shoulder).
- Gently and smoothly pull the patient's elbow forward while keeping your other hand on the acromion.
- Observe the patient's face for signs of pain or discomfort and ask if they experience any pain during the maneuver.
- Release the tension slowly and carefully.
- Repeat the test two to three times to confirm the result.
- Document the result of the test in the patient's medical record.
During this maneuver, the patient may report pain or discomfort in the acromioclavicular joint, indicating a positive test for acromioclavicular joint pain.
References:
- Paxinos A, Campbell B. The painful shoulder. Clin Orthop Relat Res. 1989;(246):70-76.
- Bennell K, Wee E, Coburn S, Green S, Harris A. Accuracy of clinical tests for diagnosis of subacromial impingement syndrome: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2015;96(3):527-538.
- Michener LA, Walsworth MK, Burnet EN. Effectiveness of rehabilitation for patients with subacromial impingement syndrome: a systematic review. J Hand Ther. 2004;17(2):152-164.
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