Thoracic Outlet Syndrome

Question 1

Positive Allen’s?

Answer 1

Delayed color return by either complete or partial blockage, TOS

Question 2

Other tests for Allen’s?

Answer 2

Adson’s

Modified Adson’s

Question 3

Positive Adson’s/modified Adson’s/Halstead?

Answer 3

Paresthesia/decrease in amplitude of pulse

Question 4

Causes of a positive Adson’s?

Answer 4

hypertrophied anterior scalene or cervical rib compressing subclavian artery or brachial plexus. TOS

Question 5

Other tests for Adson’s?

Answer 5

Modified Adson’s Halsteads

Question 6

Causes of a Modified Adson’s/Halstead’s?

Answer 6

hypertrophied medial scalene or cervical rib compressing subclavian artery or brachial plexus. TOS

Question 7

Other tests for Modified Adson’s?

Answer 7

Adson’s

Halsteads

Question 8

Other tests for Halstead’s?

Answer 8

Adson’s

Modified Adson’s

Question 9

Positive Allen’s Maneuver?

*no stated cause

Answer 9

Disappearance of pulse = TOS

Question 10

Other tests for Allen’s Maneuver?

Answer 10

Adson’s

Modified Adson’s

Question 11

Positve Roo’s test?

*no stated cause

Answer 11

Tingling/ paresthesia often on ulnar side = TOS

Question 12

Other tests for Roo’s?

Answer 12

Adson’s

Modified Adson’s

Question 13

Positive Wrights?

Answer 13

Cessation of radial pulse at a different degree than other side

Question 14

Causes of a positive Wrights test?

Answer 14

Pectoralis minor compressing Axillary artery. TOS

Question 15

Other test’s for Wrights?

Answer 15

Adson’s

modified Adson’s

Question 16

Positive Costoclavicular Maneuver Test?

Answer 16

Cessastion or dampening of the pulse, ischemic color changes, paresthesia, radicular pain in upper limb

Question 17

Causes of a positive Costoclavicular Maneuver test?

Answer 17

• narrowing space between clavicle and rib 1 by compressing Subclavian artery, vein, and brachial plexus
• Caused by poor posture, cervical rib, bone tumor, poorly united clavicle fracture. TOS

Question 18

Other tests for Costoclavicular Maneuver Test?

Answer 18

Adson’s

modified Adson’s