Thoracic Outlet Syndrome

Question 1

Adson’s

Answer 1

seated
rotate towards involved side and extend
(ant. scalene/cervical rib)

Question 2

Modified Adson’s

Answer 2

seated
rotate AWAY from involved side and extend
(med/ scalene/ cervical rib)

Question 3

Halstead’s

Answer 3

seated

extend head and traction arm down

Question 4

Eden’s

Answer 4

seated
shoulder down and back, break frontal plane
(costoclavicular)

Question 5

Wright’s

Answer 5

seated
hyperabduct each arm
(pec minor)

Question 6

Allen’s Maneuver

Answer 6

seated

flex elbow 90 degrees, extend arm horizontal, externally rotate arm, pt rotates head

Question 7

Roos’ Provocation

aka EAST, elevated arm stress test

Answer 7

seated, hostage position
pump hands
(vascular insufficiency)

Question 8

Reverse Bakody’s

Answer 8

seated
hand on head (+ increase pain)
“reverse is worse”