9/17/2023 0 Comments Thoracic outlet syndrome test![]() Grade C evidence exists for the use of these clinical diagnostic tests to exclusively diagnose thoracic outlet syndrome.Īdson’s test Healstead manuever sensitivity specificity upper extremity pathology. 10 Secondary tests include computed tomography or magnetic resonance imaging. Strength of Recommendation: Grade B evidence exists to support the accuracy of the Halstead maneuver, Wright's test, Cyriax Release test, and supraclavicular pressure test for the diagnosis of upper extremity pathology in general. For venous thoracic outlet syndrome and arterial thoracic outlet syndrome, Doppler ultrasound is the primary test of choice due to the real-time assessment of dynamic Doppler signals associated with compressive manoeuvres, yielding a high sensitivity and specificity. To perform this test, have the patient flex their arms and elbows to 90 degrees with their elbows. The use of the Adson's test and Roos test should be discontinued for the differential diagnosis of thoracic outlet syndrome. Roos test is used to assess for thoracic outlet syndrome. However, these clinical diagnostic tests do not appear to allow for the differential diagnosis of thoracic outlet syndrome exclusively. Clinical Bottom Line: There is moderate evidence to support the use of the Halstead maneuver (also known as the costoclavicular maneuver or exaggerated military brace test), Wright's test, Cyriax Release test, and supraclavicular pressure test to have good diagnostic accuracy for the provocation of symptoms in patients presenting with upper extremity pathology. One study reported that clinical diagnostic test findings correlate to provocative positioned magnetic resonance imaging findings. ![]() One study reported high false-positive rates among clinical diagnostic tests for thoracic outlet syndrome. ![]() Two studies supported the use of clinical diagnostic tests for the diagnosis of thoracic outlet syndrome. ![]() However, controversy exists over which diagnostic procedures produce accurate findings.Ĭan clinical diagnostic tests accurately diagnose patients presenting with symptoms of thoracic outlet syndrome? Summary of Key Findings: A thorough literature search returned 6 possible studies 3 studies met the inclusion criteria and were included. Currently, there are myriad diagnostic procedures used in the diagnosis of all types of thoracic outlet syndrome. Clinical Scenario: Thoracic outlet syndrome is quite challenging to diagnose. ![]()
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