Thoracic outlet syndrome (TOS): provocative tests

Evidence-based neurology checklist on thoracic outlet syndrome (tos): provocative tests: Roos test This is the elevated arm stress test (EAST) The subject repetitively clenches and unclenches the hand for 3 minutes It is performed with the shoulders in 90° abduction and with the elbows flexed at…

Roos test

  • This is the elevated arm stress test (EAST)
  • The subject repetitively clenches and unclenches the hand for 3 minutes
  • It is performed with the shoulders in 90° abduction and with the elbows flexed at 90°
  • This provokes symptoms

Elvey’s test

Morley’s sign

Vascular tests

Other provocative tests

Synonym

References

  1. Laulan J, Fouquet B, Rodaix C, Jauffret P, Roquelaure Y, Descatha A. Thoracic outlet syndrome: definition, aetiological factors, diagnosis, management and occupational impact. J Occup Rehabil 2011; 21:366-373.
  2. Hixson KM, Horris HB, McLeod TCV, Bacon CEW. The diagnostic accuracy of clinical diagnostic tests for thoracic outlet syndrome. J Sport Rehabil 2017; 26:459-465.
  3. Tender GC, Thomas AJ, Thomas N, Kline DG. Gilliatt-Sumner hand revisited: a 25-year experience. Neurosurgery 2004; 55:883-890.

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