| 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) |