MSK_TOS

  1. Anatomical variations that lead to TOS - 3
    • Cervical rib
    • Narrowing between clavicle & 1st rib
    • Hypertrophy of anterior scalene
  2. TOS - compression of neurovascular bundle in thoracic outlet in what areas? - 3
    • Scalene triangle
    • Between clavicle & 1st rib
    • Between pectorals minor & thoracic wall
    • Image Upload 1  Image Upload 2
  3. TOS - neuromuscular bundle consists of what? - 4
    • Brachial plexus
    • Subclavian artery & vein
    • Vagus nn
    • Phrenic nn
  4. Thoracic Outlet Syndrome (TOS) - Chief complaint - 6
    • Parasthesias and hyperesthesias in medial arm
    • Pain
    • Swelling (venous)
    • Cyanosis (venous)
    • Cold limb (arterial)
    • Weakness in C8, T1 muscles
    • Rounded, sagging shoulder posture
  5. TOS - PT - strengthen openers mms - name - 4
    • Rhomboids
    • Middle trap
    • Deep cervical flexors
    • Thoracic extensors
  6. TOS - PT - stretch closers - name - 5
    • Pecs
    • Scalenes
    • Levator snap
    • Short sub occipitals
    • Ant portion of intercostals
  7. Tests for Thoracic Outlet Syndrome - 4
    • Adson’s
    • Costoclavicular
    • Wright
    • Roos
  8. Adson's - describe
    Head to tested side - extend arm & ER while extending head
  9. Costoclavicular - describe
    • Narrowing between clavicle & 1st rib
    • Move shoulder down and back
  10. Wright - describe
    • Max shoulder ABD/ER + rotate head to opposite side
    • Take a deep breath & rotate head to opposite side = accentuates symptoms
  11. Roos - describe
    • Full ER, 90 ABD, slight horizontal ABD, elbows at 90
    • Open and close hands for 3 minutes
  12. Name test
    Compression of neurovascular bundle by what in this position?
    Image Upload 3
    • Adson's test
    • Compresson of neurovascular bundle between anterior & middle scalene
    • Image Upload 4
  13. Name test
    Compression of neurovascular bundle by what in this position?
    Image Upload 5
    • Costoclavicular (military brace) test
    • Compression by clavicle
    • Image Upload 6
  14. Name test
    Compression of neurovascular bundle by what in this position?
    Image Upload 7
    • Wright (HyperABD) test
    • Compression of neurovascular bundle by pec minor or coracoid process
    •   Image Upload 8
  15. Name test
    Image Upload 9
    • Roos Test
    • Most sensitive test for TOS
Author
Tanuisha
ID
325578
Card Set
MSK_TOS
Description
MSK_TOS
Updated