Brachial Plexopathy
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What population are you likely to see TOS in? | females > males (2-3:1) , ppl after fourth decade of life
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What are the sites of compression or entrapment of the brachial plexus (plexopathy) | 1. interscalene triangle 2. costoclavicular space 3. axillary space
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Describe the anatomy of the interscalene triangle. | in posterior triangle of neck, bordered by scalenus anterior, scalenus medius, and first rib
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Describe the anatomy of the costoclavicular space | between clavicle and first rib
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Describe the anatomy of the axillary space. | anterior deltopectoral fascia, pectoralis minor, and coracoid
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Study the brachial plexus anatomy | DO IT
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What is the problem with adsons maneuver? | you get a lot of false positives (low specificity)
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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)
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