TCA 1: THORACIC OUTLET SYNDROME

Question 1

Trauma/Surgery to the neck or shoulder (mastectomy, dislocation/subluxation to the GH, AC joint, SC joint, fracture...)

Accepted Answer

True

Question 2

what tests can be used to determine if your client has TOS?

Accepted Answer

all of the above

Question 3

There may be neurological symptoms or vascular symptoms, or both.

Accepted Answer

True

Question 4

How is the costoclavicular space is formed anteriorly?

Accepted Answer

The clavicle

Question 5

what are muscular and sensory signs and symptoms of TOS?

Accepted Answer

numbness and/or tingling along the C8-T1 dermatomes, usually insidious onset, occasionally: pain in chest, neck and head relieved by laying down, diffuse aching/pain in the shoulder and upper limn

Question 6

Over time, people with TOS may develop muscle weakness in the intrinsic muscles of the hand. Clumsiness or weak grip.

Accepted Answer

True

Question 7

The brachial plexus travels along with the subclavian artery between the anterior and middle scalene

Accepted Answer

True

Question 8

TOS caused by compression between the clavicle and first rib or under a tight Pec Minor do involve the subclavian vein

Accepted Answer

True

Question 9

The costoclavicular & Pect Minor Compression Syndromes may lead to edema in arm/hand, venous stasis & Thrombosis (rare)

Accepted Answer

True

Question 10

The retropectoralis minor space is formed by which structure posteriorly ?

Accepted Answer

Ribs 2-4

Question 11

compression of the brachial plexus, subclavian artery and vein between the clavicle and the first rib.

Accepted Answer

Costoclavicular syndrome:

Question 12

Eventual atrophy of the hypothenar eminence and interossei occurs in people with TOS

Accepted Answer

True

Question 13

How does the interscalene triangle become narrowed?

Accepted Answer

All of the above

Question 14

CI/precautions of tx for cx with TOS includes:

Accepted Answer

no frictions ifon anti-inflammatories, medical attention if thrombosis is suspected, no TvP , deep petrissage or fascia if cx is on analgeics, no hot/heavy hydro if cx has high BP. No tripping to brachial plexus

Question 15

which of the following is a structural compression of the neurovascular bundle?

Accepted Answer

extra cervical rib (causing shrinking of interscale triangle)

Question 16

An assessment used to determine pec minor syndrome is called Wright&#x27;s hyperabduction

Accepted Answer

True

Question 17

a compression syndrome of the brachial plexus within the shoulder girdle

Accepted Answer

Thoracic outlet syndrome

Question 18

which of the following are nurological symtoms of TOS?

Accepted Answer

Numbness/tingling along C8-T1 dermatones. If untreated, progresses to hand

Question 19

TOS is the compression of

Accepted Answer

Subclavian artery, The lower trunk of the brachial plexus (C8-T1), In SOME CASES, the subclavian vein in the thoracic outlet

Question 20

Signs and symptoms of TOS may be present unilateral or bilaterally

Accepted Answer

True

Question 21

compression of the brachial plexus, subclavian artery and vein.

Accepted Answer

Pec Minor syndrome, AKA, “hyperabduction syndrome”

Question 22

Trigger points in the scalenes, subclavius, and pec muscles refer down the arm and may overlap with the TOS symptoms.

Accepted Answer

Severe case:Thrombosis, trophic changes to skin, nails, & possible gangren, Joint stiffness, Venous Distention, Edema (seen mostly on the dorsum of the hand) especially upon waking

Question 23

How does the retropectoralis minor space narrow?

Accepted Answer

All of the above

Question 24

techniques for TOS include:

Accepted Answer

Rhythmic Mobilizations to the Scapulothoracic joint and traction to C-spine, Fascia to upper chest, neck &shoulder, specifically lateral neck, & pecs, GTO, petrissage to PecMajor, SCM, upper traps, post cervical paraspinals, O&I, mm stripping & TvP release to Scalenes, Pec Minor and Subclavius

Question 25

Thoracic outlet: extends from cervical spine to pec minor muscle (located between scalene, clavicle & 1st rib)

Accepted Answer

True

Question 26

what tests can be used to determine if your client has TOS?

Accepted Answer

adson&#x27;s or reverse adson&#x27;s (Halstead&#x27;s), Costoclavicular syndrom, Pec Minor syndrome, AKA, “hyperabduction syndrome”, myotmes and deratomes, spurlings

Question 27

The brachial plexus joins the subclavian vein becoming the neurovascular bundle

Accepted Answer

True

Question 28

which of the following are symptoms of TOS with vascular involvement?

Accepted Answer

cyanonis, distal coolness, pallor in the hand, pain d/t ischemia

Question 29

The brachial plexus is made up of nerve roots from

Accepted Answer

C5-T1

Question 30

The retropectoralis minor space is formed by which structure superiorly?

Accepted Answer

Coracoid process

Question 31

How is the costoclavicular space is formed posteromedially?

Accepted Answer

First rib

Question 32

The retropectoralis minor space is formed by which structure anteriorly?

Accepted Answer

Pec minor

Question 33

Respiratory Pathologies (Asthma, Emphysema, Bronchitis); hypertrophy of accessory muscles of respiration can compress

Accepted Answer

True

Question 34

The interscalene triangle is formed posteriorly by?

Accepted Answer

Middle scalene

Question 35

The thoracic outlet is proximally comprised by?

Accepted Answer

Interscalene triangle

Question 36

Trigger points in the scalenes, subclavius, and pec muscles refer down the arm and may overlap with the TOS symptoms.

Accepted Answer

True

Question 37

Edema (Pregnancy, lymphedema). Pregnancy causes postural changes as well.

Accepted Answer

True

Question 38

Thoracic Outlet Syndromes caused by an extra cervical rib or the Scalene muscles do not involve the Subclavian Vein.

Accepted Answer

True

Question 39

which of the following causes compression of the neurovascular bundle?

Accepted Answer

bfachial plexus piercing the anterior scale muscle, shrinking of retropectoral space: hypertrophy of pec minor from overuse,TVP, Structural bony abnormality of the clavicle +/or 1st rib (malunio,fracture), shrinking/narrowing of interscalene triangle/reduced compliance of triangle

Question 40

What vein MAY be included or compressed in TOS?

Accepted Answer

Subcalvian vein

Question 41

Compression by carrying a heavy bag, knapsack, or object on the shoulder can compress the neurovascular bundle

Accepted Answer

True

Question 42

How is the costoclavicular space narrowed?

Accepted Answer

Slouching forward, A tight subclavius muscle, Inspiration, Retraction of the shoulder

Question 43

The interscalene triangle is formed inferiorly by?

Accepted Answer

First rib

Question 44

rm abducted for prolonged periods i.e sleeping w/ arm abducted, painting ceiling, draping arms over back of a chair

Accepted Answer

True

Question 45

The interscalene triangle is formed anteriorly by?

Accepted Answer

Anterior scalene

TCA 1: THORACIC OUTLET SYNDROME

Questions 45

TCA 1: THORACIC OUTLET SYNDROME

Questions 45