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Thoracic Outlet Syndrome
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Reporting standards are by Illig et al. [1]
Examination
Thoracic Outlet Syndrome Tests | |||||
---|---|---|---|---|---|
Test | Sensitivity | Specificity | +LR | -LR | Kappa |
Both Adson + Wright (pulse) positive | 0.54 | 0.94 | 9.0 | -0.5 | - |
Both Adson + hyperabduction (sx) positive | 0.72 | 0.88 | 6 | -0.3 | - |
Hyperabduction (pulse abolition) | 0.52 | 0.90 | 5.2 | -0.5 | - |
Both Adson + Roos positive | 0.72 | 0.82 | 4 | -0.3 | - |
Both Adson + Wright (sx) positive | 0.79 | 0.76 | 3.3 | -0.3 | - |
Both Adson + Roos positive | 0.72 | 0.82 | 4 | -0.3 | - |
Adson test | 0.79 | 0.76 | 3.3 | -0.3 | - |
Tinel sign | 0.86 | 0.56 | 2.0 | -0.3 | - |
Both Wright (pulse) + hyperabduction (sx) positive | 0.63 | 0.69 | 2.0 | -0.5 | - |
Both Wright (sx) + hyperabduction (sx) positive | 0.83 | 0.50 | 1.7 | -0.3 | - |
Both Wright (sx) + Roos positive | 0.83 | 0.47 | 1.6 | -0.4 | - |
Wright test (pulse abolition) | 0.70 | 0.53 | 1.5 | -0.6 | - |
Hyperabduction (sx reproduction) | 0.84 | 0.40 | 1.4 | -0.4 | - |
Wright test (sx reproduction) | 0.90 | 0.29 | 1.3 | -0.3 | - |
Roos test | 0.84 | 0.30 | 1.2 | -0.5 | - |
References
- โ Illig et al.. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. Journal of vascular surgery 2016. 64:e23-35. PMID: 27565607. DOI.
- โ Gillard J, Pรฉrez-Cousin M, Hachulla E, et al. Diagnosing thoracic outlet syndrome: contribution of provocative tests, ultrasonography, electrophysiology, and helical computed tomography in 48 patients. Joint Bone Spine. 2001;68(5):416-424. doi:10.1016/s1297-319x(01)00298-6
Literature Review
- Reviews from the last 7 years: review articles, free review articles, systematic reviews, meta-analyses, NCBI Bookshelf
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- Other Wikis: Radiopaedia, Wikipedia Search, Wikipedia I Feel Lucky, Orthobullets,