{"id":11158,"date":"2022-07-28T15:33:45","date_gmt":"2022-07-28T13:33:45","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=11158"},"modified":"2022-07-28T15:33:45","modified_gmt":"2022-07-28T13:33:45","slug":"tinel-sign-tos","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/tinel-sign-tos\/","title":{"rendered":"Tinel Sign for TOS"},"featured_media":11160,"template":"","class_list":["post-11158","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":11160,"background_image_alt_text":"Tinel Sign for TOS"},"heading":"Tinel Sign for TOS | Thoracic Outlet Syndrome Assessment","subheading":"Thoracic Spine Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Tinel Sign for TOS | Thoracic Outlet Syndrome Assessment<\/h2>\nThoracic 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.\n\nThis maneuver exerts direct stress on the mechanosensitive brachial\u00a0 plexus. According to Gillard et al. in 2001 it has a sensitivity of 46% and specificity of 56%, Regarding the very low accuracy the clinical value of this test is rather weak.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=jvWvW3Bk4R8[\/embed]\n\n<\/div>\nTo elicit the Tinel Signs have your patient sit upright with the arms at the side of his body. The examiner taps the supraclavicular fossa with a reflex hammer or index and middle fingers.\n\nThis test is positive if the patient reports tenderness or if the patient\u2019s familiar symptoms are reproduced.\n\nBe aware that it is unlikely that this test is able to distinguish between patients with cervical radiculopathy and TOS as this test is probably positive in both conditions.\n\n[cta]\n\nOther common tests to assess for TOS are:\n