8/18/2023 0 Comments Thoracic outlet syndrome testthe head rotation always follows the direction of the thumb. The pearl is “ the rule of the thumb,” i.e. There is one more pearlworth sharing to lay the groundwork for the tests. Individual test data, as well as the clustering of tests, are revealed in the chart below. Fortunately, the work of Lindgre (2010) reported data using the clustering of tests to assist in a diagnosis. This is helpful not only regarding sensitivity and specificity but it is also may identify the structure involved in the pathology, i.e. Some researchers (Lindgre, 2010 Plews & Delinger, 1998) have differentiated pulse diminution from pain/paresthesias as the barometer for a positive test. However, vascular compression is significantly less common (only 4-6% of TOS diagnoses) than neural compression. If the pulse quality was diminished/absent in the test position, the test was deemed positive. using the radial pulse as the indicator of a positive or negative test. Historically, thoracic outlet tests have only looked at circulation, i.e. In the case of TOS test, the tests used for diagnostic purposes have some inherent problems. Typically when clinical tests are discussed, the techniques used for the rendering of a diagnosis are explained and then the supporting metrics are referenced. The chart below describe the possible presentation(s): Of course, signs and symptoms of TOS depend on the structure compressed. Vascular TOS – occurs when the subclavian artery or subclavian vein are compressed.Neurogenic TOS – most common type and characterized by compression of the brachial plexus. TOS is classification by the structure involved: Trauma, repetitive activities, poor posture, and anatomic anomalies can contribute. Within these areas there are three structures that could potentially be compressed: brachial plexus, subclavian artery, and subclavian vein. There are four areas that are potentially problematic: thoracic inlet, scalene triangle, coracopectoral loop, and pectoralis minor loop. Thoracic Outlet Syndrome (TOS) is a term to describe a compression disorder. Structures Involved in Thoracic Outlet Syndrome News Orthopedic Clinical Tests iOrtho Admin JTOS: Why Do We Take a Pulse When the Problem is Neurologic? TOS: Why Do We Take a Pulse When the Problem is Neurologic?
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