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Athletic Training & Sports Medicine Center

Examination Links:

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Alphabetical Listing
of Examinations
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Head

Cervical Spine

Thoracic Spine

Lumbar Spine

Shoulder

Elbow & Radioulnar

Wrist

Hand & Fingers

Sacroiliac Joint

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Ipsilateral Prone Kinetic Test
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FABER Test
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Passive Extension & Internal 
Rotation of Ilium on Sacrum

Passive Flexion & External 
Rotation of Ilium on Sacrum

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Passive External Rotation 
of Hip
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Pelvic Rocking Test
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Gapping Test
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Prone Gapping (Hibb's) Test
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Approximation Test
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Squish Test
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Sacroiliac Rocking Test
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Sacral Apex Pressure Test
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Torsion Stress Test
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Femoral Shear Test
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Superoinferior Symphysis
Pubic Stress Test

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Piedallu's Sign
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Flamingo Maneuver or Test
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Gaenslen's Sign
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Mazion's Pelvic Maneuver
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Yeoman's Test
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Sit-up Test
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Hip & Thigh

Knee

Lower Leg

Ankle

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Foot
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Morton Test
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Range of Motion
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Goniometry
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Manual Muscle Testing
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Reflexes
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Vital Signs
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Body Composition
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Cross-Arm Test

Other Names

Horizontal Adduction Test, Acromioclavicular Crossover Test, Cross-Chest Test, Crossbody Test

Examination type

Bony integrity, ligamentous integrity

Patient & Body Segment Positioning

Supine or standing relaxed with arms at sides.

Examiner Position

Standing next to the patient on the involved side. One hand should be placed at the shoulder to stabilize while the other hand is placed on the patient’s elbow to move the arm.

Tissues Being Tested

Acromioclavicular joint, acromion process, proximal end of clavicle, ligamentous structures of the acromioclavicular joint

Performing the Test

The examiner passively moves the humerus across the chest by flexing the shoulder to 90⁰ and then horizontally adducting the shoulder. As the humerus approaches full horizontal adduction, question the patient regarding pain in the acromioclavicular joint. Lightly place the fingers of your other hand over the acromioclavicular joint to palpate for crepitus and separation. Perform this test on the uninvolved shoulder and compare bilaterally.

Positive Test

Pain, crepitus, or separation at the acromioclavicular joint

Interpretation

The presence of pain indicates pathology of the acromioclavicular joint. This procedure compresses or impinges the acromioclavicular joint and is painful if internal derangement or instability exists.

Common errors in performing exam

Failing to compare bilaterally; not palpating for separation during the test

Factors possibly resulting in misinterpretation

Be sure to question the patient about the exact location of the pain as this movement stresses structures other than the acromioclavicular joint as well.

Related tests

Acromioclavicular shear test

References

Magee, David J. (2002). Orthopedic Physical Assessment. Philadelphia, PA: Elsevier.

Links:

http://www.nismat.org/orthocor/exam/shoulder.html, http://goaggies.cameron.edu/training/study21

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