Adson’s test is for determining vascular compression. It is useful in –
**Core Concept**
Adson's test assesses **vascular compression in the thoracic outlet**, specifically evaluating **thoracic outlet syndrome (TOS)** by checking for subclavian artery occlusion during neck rotation and arm elevation. It relies on the anatomical relationship between the neurovascular bundle and the scalene muscles.
**Why the Correct Answer is Right**
Thoracic outlet syndrome involves compression of the brachial plexus and subclavian vessels between the first rib, clavicle, and scalene muscles. **Adson's test** reproduces symptoms by rotating the head toward the side being tested while extending the arm overhead, narrowing the thoracic outlet. A positive test (diminished radial pulse or symptoms) indicates subclavian artery compression, confirming vascular TOS.
**Why Each Wrong Option is Incorrect**
**Option A:** *Cervical radiculopathy* is diagnosed with **Spurling’s test**, not Adson’s.
**Option B:** *Carpal tunnel syndrome* is assessed using **Phalen’s or Tinel’s tests**, not Adson’s.
**Option C:** *Raynaud’s disease* involves vasospasm, not structural compression, and is unrelated to Adson’s test.
**Clinical Pearl / High-Yield Fact**
Adson’s test has **low sensitivity** and may yield false negatives. Combine it with **Roos overhead test** (for neurogenic TOS) and **Wright’s test** (for arterial/venous compression) for comprehensive evaluation. Remember: Adson’s is **specific for vascular TOS**, not neurogenic variants.
**Correct Answer: D. Thoracic outlet syndrome**