TOS Flashcards
if TOS is expected, which test should you run first
Allen’s test
patient opens and closes hand with radial and ulnar arteries occluded by the doctor.
Allen’s test
what is the purpose of Allen’s test
to test patency of the upper extremity arterial system
normal time of color return to the hand while performing Allen’s test
5 seconds
the radial pulse is taken and the doctor maintains palpation of the pulse while slightly abducting and externally rotating the patients arm while the patient rotates the head to the side being tested, extends the neck as far as possible, and takes a deep breath and holds it for 10 seconds
Adson’s test
what is the purpose of Adson’s test
to test for neurovascular compression of the subclavian artery and brachial plexus
which test checks for hypertrophy of the anterior scalene and/or cervical rib compressing the neurovascular bundle on that same side
Adson’s test
how does modified Adson’s test differ from Adson’s test
in modified Adson’s the patient rotates the head to the opposite side being tested instead of the same side
which test checks for hypertrophy of the medial scalene as well as cervical rib involvement in TOS
modified Adson’s test
the examiner flexes the patient’s elbow to 90 degrees while the shoulder is abducted and externally rotated. the patient then rotates the head away from the side being tested and the radial pulse is compared to the normal position
Allen’s maneuver
the patient’s arms are elevated to 90 degrees, elbows are flexed to 90 degrees and the shoulders are externally rotated. this position is held for one minute or until symptoms are reproduced. with some variations to this test the patient would open and close their fists for 3 minutes to see if symptoms could be reproduced
Roos’ test/hands up test/hostage test
where is tingling and paresthesia often found in a positive Roos’ test
ulnar side of the forearm and hand
Allen’s test is performed first to establish patency of the radial artery. The patient’s arm is abducted passively 180 degrees.
Wright’s test
what would indicate a positive Wright’s test
diminished or vanishing radial pulse
radial pulse is taken and the patient lowers and retracts shoulders while lowering the chin to the chest and taking a breath and holding it for 10 seconds
costoclavicular(eden) test
