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MOD 8: TOS
Brachial Plexopathy
Question | Answer |
---|---|
What population are you likely to see TOS in? | females > males (2-3:1) , ppl after fourth decade of life |
What are the sites of compression or entrapment of the brachial plexus (plexopathy) | 1. interscalene triangle 2. costoclavicular space 3. axillary space |
Describe the anatomy of the interscalene triangle. | in posterior triangle of neck, bordered by scalenus anterior, scalenus medius, and first rib |
Describe the anatomy of the costoclavicular space | between clavicle and first rib |
Describe the anatomy of the axillary space. | anterior deltopectoral fascia, pectoralis minor, and coracoid |
Study the brachial plexus anatomy | DO IT |
What is the problem with adsons maneuver? | you get a lot of false positives (low specificity) |
What tests should you do for TOS? | *Roos test (EAST…ER ABD sustained test) – put arms at a fieldgoal and open and close palms, difficulty holding hands up after like 20 sec.., stop @ sx *Upper limb tension tests*Tinel’s sign over the brachial plexus (Erb’s point) |