Thoracic outlet syndrome

Question 1

adsons test

Answer 1

1. patient chin is elevated
2. head rotated to affected side
3. patient takes deep inspiration
4. paresthesia and obliteration of pulse are positive findings

Question 2

edens tests

Answer 2

1. patient pulls their shoulders back and down
2. exaggerated military position

back pack test

Question 3

elevated arm stress test

Answer 3

1. patient is positioned with shoulder at 90* abduction and external rotation
2. patients forearm is flexed to 90*
3. patient instructed to open and close fist at moderate speed for 3 min
4. neurological complaint is positive finding

EAST

Question 4

costoclavicular maneuver

Answer 4

1. patient hyperextends the neck

2. palpating radial pulse while extending arm and depressing shoulder

Question 5

neurovascular compression

Answer 5

1. dr applies pressure over neurovascular bundle
2. dr stands behind patient and presses into supraclavicular fossa
3. reproduction of patient symptoms localizes complaint to TOS

Question 6

wrights maneuver

Answer 6

1. patients arm is held in abduction
2. obliteration of radial pulse in positive finding
3. hyperextension of neck made symptoms worse and flexion made symptoms better

HYPERABDUCTION