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Define TOS
Condition that involves compression of the brachial plexus (C5-T1) and the AA
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Causes of TOS
- Internal (bony callus, cervical rib)
- External (critches, chair, bathtub)
- Prolonged poor position
- Poor posture
- Systemic immune/metabolic disorders (diabetes=sugar razors)
- Trauma
- Jt sublux
- Pregs (jt instability, posture)
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S&S of TOS
- Usually Neuropraxia (axon = okay)
- Other S&S based on location of compression
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Compression sites for TOS
- 1. Anterior Scalene Syndrome: btw Ant and Mid scalenes
- 2. Pect Minor Syndrome: btw Coracoid proc and Pect Minor
- 3. Costoclavicular Syndrome: btw Clavicle and Rib 1
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Special Tests for TOS
(8)
- Adsons
- Allens
- Halsteads
- Wrights HyperABD
- Roos (EAST)
- Provocation Test
- Shoulder Gridle Passive Elevation Test
- ULTT
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DDx for TOS
(8)
- C/S spondylosis
- Cervical Radiculopathy
- Cervical Tumors
- Raynauds
- CTS (often occurs simultaneously)
- Ulner NN compression
- Tendonitis
- Osteoarthritis
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