Wright's test for thoracic outlet syndrome (TOS) The Wright’s test is designed to decrease the retropectoralis minor space in the first step, while the second part of the test implicates the costoclavicular interval. Unclear descriptions in the performance of the Wright’s test in the study of Gillard et al. in 2001 prohibit any statement about the accuracy of this test. For this reason, the clinical value in practice is questionable. A positive result is a decrease in the radial pulse and/or rep

WRIGHTS TEST FOR THORACIC OUTLET SYNDROME (TOS) - SUBCORACOID TUNNEL AND COSTOCLAVICULAR SPACE The Wright's test is a test for thoracic outlet syndrome (TOS) and consits of two phases: In the first phase you are putting stress on the subcoracoid tunnel under the tendon of the pectoralis minor. In the second step, you are hyperabducting the arm and thus stressing the costoclavicular space. Both sites are interfaces where the brachial plexus might get compressed. | Physiotutors

Roos Test / Elevated Arm Stress Test for TOS Thoracic Outlet Syndrome is defined as a neurovascular symptom complex associated with compression of the brachial bundle, which includes the brachial plexus and/or subclavian vessels. This compression may be caused by several anatomical structures in one or more of the following three compartments: the interscalene triangle, the costoclavicular space or retropectoralis minor space. The Roos Test is believed to stress all three intervals since this po

ROOS TEST FOR THORACIC OUTLET SYNDROME (TOS) The Roos test has a sensitivity of 84% and a specificity of 30% (Gillard et al. 2001) and stresses all three interfaces (posterior scalene port, costoclavicular space and subcoracoid tunnel) where the brachial plexus can become compressed. (Watson et al. 2010). Watch out as the very low specificity of 30% means that this test will create a high number of false positives! | Physiotutors