Adson test is positive in: September 2007
## **Core Concept**
The Adson test, also known as the Adson maneuver, is a medical test used to assess for thoracic outlet syndrome (TOS). It involves checking for the presence of a cervical rib or compression of the subclavian artery. The test is performed with the patient seated and the examiner palpating the radial pulse while the patient's arm is in different positions.
## **Why the Correct Answer is Right**
The Adson test is positive in the presence of **thoracic outlet syndrome (TOS)**, specifically when there is a compression of the subclavian artery or the presence of a cervical rib. During the test, if the patient takes a deep breath in and the radial pulse weakens or disappears, it indicates a positive test. This is because the maneuver can exacerbate the compression of the subclavian artery.
## **Why Each Wrong Option is Incorrect**
- **Option A:** This option is not provided, but typically, incorrect options might include conditions not directly related to TOS or the specific pathology tested by the Adson maneuver.
- **Option B:** Similarly, without the content, we assume it's incorrect based on the context that it doesn't relate to TOS or subclavian artery compression.
- **Option C:** This option is also not provided but would be incorrect for similar reasons.
- **Option D:** Without specifics, we deduce it's incorrect as the correct answer is given as .
## **Clinical Pearl / High-Yield Fact**
A key point to remember is that a **positive Adson test** is suggestive of **thoracic outlet syndrome**, which can be caused by the presence of a cervical rib, tight fibrous bands, or other anatomical abnormalities that compress the subclavian artery or brachial plexus. The test's sensitivity and specificity have been debated, but it remains a useful clinical tool in the diagnosis of TOS.
## **Correct Answer:** . Thoracic outlet syndrome