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Athletic Training & Sports Medicine Center

Examination Links:

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Alphabetical Listing
of Examinations
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Head

Cervical Spine

Thoracic Spine

Lumbar Spine

Shoulder

Elbow & Radioulnar

Wrist

Hand & Fingers

Sacroiliac Joint

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Ipsilateral Prone Kinetic Test
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FABER Test
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Passive Extension & Internal 
Rotation of Ilium on Sacrum

Passive Flexion & External 
Rotation of Ilium on Sacrum

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Passive External Rotation 
of Hip
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Pelvic Rocking Test
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Gapping Test
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Prone Gapping (Hibb's) Test
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Approximation Test
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Squish Test
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Sacroiliac Rocking Test
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Sacral Apex Pressure Test
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Torsion Stress Test
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Femoral Shear Test
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Superoinferior Symphysis
Pubic Stress Test

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Piedallu's Sign
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Flamingo Maneuver or Test
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Gaenslen's Sign
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Mazion's Pelvic Maneuver
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Yeoman's Test
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Sit-up Test
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Hip & Thigh

Knee

Lower Leg

Ankle

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Foot
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Morton Test
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Range of Motion
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Goniometry
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Manual Muscle Testing
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Reflexes
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Vital Signs
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Body Composition
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Halstead's Test

Examination type

Neurological, Vascular integrity

Patient & Body Segment Positioning

The subject should be seated and relaxed.

Examiner Position

The examiner stands behind the athlete and palpates the radial pulse on the involved side throughout the test.

Tissues Being Tested

Brachial plexus (medial trunk, C8-T1) and the subclavian artery and vein

Performing the Test

The examiner continuously palpates the radial pulse on the side being tested while abducting the arm to 45 degrees, extending the shoulder to 45 degrees, externally rotating the humerus, and applying a downward traction to the arm. The patient is then asked to fully turn his/her head away from the side being tested and extend the cervical spine.

Positive Test

Disappearance or decreasing of the radial pulse

Interpretation

Indicates thoracic outlet syndrome. The presence of a cervical rib compressing the neurovascular bundle may be responsible.

Common errors in performing exam

Palpate the radial pulse throughout the entire test, not just before and after positioning the patient.

Factors possibly resulting in misinterpretation

Radial pulse disappearance is not by itself specific, but loss of pulse with reproduction of symptoms is a positive sign for thoracic outlet syndrome.

Related tests

Adson maneuver, Military brace test, Wright test, Roos test, Shoulder girdle passive elevation

References

MERRELL, GREGORY A. M.D.; WOLFE, SCOTT W. M.D.Adult Brachial Plexus and Thoracic Outlet Surgery.
Techniques in Shoulder & Elbow Surgery. 3(4):271-281, December 2002.

Magee, David J. (2002). Orthopedic Physical Assessment. Philadelphia, PA: Elsevier.

Links:

http://www.studystack.com/flashcard-6097

http://www.therapyedu.com/ortho/chapter10.htm

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