Thoracic Orthopedic Tests

Question 1

Adson’s Test

Answer 1

• Positive test = loss of pulse or recreation of symptoms

- Indicates compression between anterior and middle scalenes

Question 2

Hyperabduction Maneuver (Wright’s Test)

Answer 2

• Positive test = recreation of symptoms

- Indicates compression by pec minor

Question 3

Costoclavicular Maneuver

Answer 3

• Positive test is loss of pulse

- Indicates compression between first rib and clavicle

Question 4

Roos Test

Answer 4

• Positive test = unable to perform test for 3 minutes

- Indicates TOS on affected side

Question 5

Spinal Percussion Test

Answer 5

-Indicates fracture if localized pain or disc lesion if Px travels

Question 6

Adam’s Test

Answer 6

-Indicates functional vs structural scoliosis

Question 7

Forrestier’s Test

Answer 7

-Indicates ankylosing spondylitis if ipsilateral spinal muscles spasm

Question 8

Shepelmann’s Sign

Answer 8

• Px on concave side = intercostal neuritis

- Px on convex side = intercostal myofascitis

Question 9

Costovertebral Stress Test

Answer 9

• Px = costovertebral irritation

- Loss of caliper movement = fixation of caliper movement

Question 10

Chest Expansion Test

Answer 10

• Decrease of measurement = trauma, ankylosing spondylitis

- Normal = 3 inches in males and 1.5 in females

Question 11

Posterior Respiratory Excursion

Answer 11

• Asymmetry of thumbs = collapsed lung, pneumonia, rib problems

Question 12

Rib Motion Test

Answer 12

• Rib doesn’t move inferior during expiration = fixed elevated rib
• Rib doesn’t move superior during inhalation = fixed inferior rib

Question 13

Sternal Compression Test

Answer 13

-Px (local or spread along the rib) = fracture

Question 14

Lateral Chest Compression (Rib compression)

Answer 14

• Px at costosternal junction = local inflammation
• Px at back = costovertebral or costotransverse lesions
• Px at lateral rib angle = fracture