{"id":12691,"date":"2022-11-11T15:03:40","date_gmt":"2022-11-11T14:03:40","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&#038;p=12691"},"modified":"2026-10-15T19:16:27","modified_gmt":"2026-10-15T17:16:27","slug":"thoracic-outlet-syndrome-explained","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/","title":{"rendered":"Thoracic Outlet Syndrome Explained"},"featured_media":12692,"template":"","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":""},"class_list":["post-12691","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"free_access":"","app_link":"","sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12692,"background_image_alt_text":"Thoracic Outlet Syndrome Explained"},"heading":"Thoracic Outlet Syndrome (TOS) Explained | TOS Classification","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":null,"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":"Free sample","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-6","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Try Premium free","button_style":"button-three","button_internal_link":26802,"button_anchor":"","button_url":"","button_file":""},"button_description":""},{"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":"<h4>Learn<\/h4>"},"column_right":{"content_editor":"<h6>Thoracic Outlet Syndrome (TOS) Explained | TOS Classification<\/h2>\nTOS is not an actual diagnosis according to the International Classification of Diseases(ICD), but a symptom complex. It is detected by the exclusion of other pathologies that can provoke neurological or vascular arm symptoms like cervical radicular syndrome and carpal tunnel syndrome.\n\nTOS can be further divided into 4 different classifications:\n\n<img class=\"size-full wp-image-12693 aligncenter\" src=\"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2022\/11\/TOS-classification.jpg\" alt=\"Tos classification\" width=\"792\" height=\"236\" \/>\n\nAccording to <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12715220\/\" target=\"_blank\" rel=\"noopener\">Davidovic et al. (2003)<\/a> the incidence of TOS is as high as 8% and it is said to be pretty rare in children with a ratio of males to females of 1:2 to 1:4. Furthermore,98% of the causes are neurogenic, while 2% are due to vascular compression.\n<div class=\"embed-container\">\n\n[embed]https:\/\/www.youtube.com\/watch?v=H_tGstO-0N4[\/embed]\n\nEntrapment of neurological or vascular structures can happen in the following intervals:\n\n<\/div>\n<img class=\"size-full wp-image-12694 aligncenter\" src=\"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2022\/11\/Entrapment-sites.jpg\" alt=\"Entrapment sites\" width=\"792\" height=\"206\" \/>\n\nCommon tests to assess for TOS are:\n<ul>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/adson-test\/\">Adson Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/eden-test\/\">Eden\/Military Brace Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/wrights-test\/\">Wright's Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/tinel-sign-TOS\/\">Tinel's Sign<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/morley-test\/\">Morley \/ Brachial Plexus Compression Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/cyriax-release-test\/\">Cyriax Release Test<\/a><\/li>\n \t<li><a href=\"https:\/\/www.physiotutors.com\/wiki\/costoclavicular-maneuver\/\">Costoclavicular Maneuver \/ Halstead Test<\/a><\/li>\n<\/ul>\n&nbsp;\n"}},{"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":"<h4>References<\/h4>"},"column_right":{"content_editor":"<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/12715220\/\" target=\"_blank\" rel=\"noopener\">Davidovic, L. B., Kostic, D. M., Jakovljevic, N. S., Kuzmanovic, I. L., &amp; Simic, T. M. (2003). Vascular thoracic outlet syndrome.\u00a0World journal of surgery,\u00a027(5), 545-550.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19744876\/\" target=\"_blank\" rel=\"noopener\">Watson, L. A., Pizzari, T., &amp; Balster, S. (2009). Thoracic outlet syndrome part 1: clinical manifestations, differentiation and treatment pathways.\u00a0Manual therapy,\u00a014(6), 586-595.<\/a>\n\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/20382063\/\" target=\"_blank\" rel=\"noopener\">Watson, L. A., Pizzari, T., &amp; Balster, S. (2010). Thoracic outlet syndrome part 2: conservative management of thoracic outlet.\u00a0Manual therapy,\u00a015(4), 305-314.<\/a>"}},{"acf_fc_layout":"cta-form-v2","content_editor":"<h2>Get the <strong>21 most useful<\/strong> orthopedic tests<\/h2>\r\n<p>Download our <strong>free<\/strong> e-book with the 21 most useful orthopedic tests per body region, to help you reach the right diagnosis.<\/p>","form":"39","image":29349,"image_alt_text":"Free e-book with 21 orthopedic tests"},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"<p class=\"subheading\">Like what you\u2019re learning?<\/p>\n<p class=\"heading-two\">Get the full Physiotutors <strong>Assessment Book<\/strong><\/p>\n\n<ul>\n \t<li>600+ pages on orthopedic assessment<\/li>\n \t<li>Video demonstrations and direct links to the PubMed studies<\/li>\n \t<li>Statistical values for every special test, from the latest research<\/li>\n \t<li>Free lifetime updates<\/li>\n \t<li>Available in English, German, French, Spanish, Italian, Portuguese and Turkish<\/li>\n<\/ul>","button_type":"internal_link","button_label":"See the Assessment Book","button_style":"button-two","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":null,"side_button":{"side_button_content_editor":""},"bottom_button":{"bottom_button_content_editor":""},"image":22705,"image_alt_text":""}]},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Thoracic Outlet Syndrome (TOS) Explained | TOS Classification<\/title>\n<meta name=\"description\" content=\"Thoracic Outlet Syndrome (TOS) is an arterial, venous, or neurological entrapment of the brachial plexus in the thoracic outlet.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Thoracic Outlet Syndrome (TOS) Explained | TOS Classification\" \/>\n<meta property=\"og:description\" content=\"Thoracic Outlet Syndrome (TOS) is an arterial, venous, or neurological entrapment of the brachial plexus in the thoracic outlet.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/\" \/>\n<meta property=\"og:site_name\" content=\"Physiotutors\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/facebook.com\/physiotutors\" \/>\n<meta property=\"article:modified_time\" content=\"2026-10-15T17:16:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2022\/11\/Thoracic-outlet-syndrome-explained.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1280\" \/>\n\t<meta property=\"og:image:height\" content=\"720\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@physiotutors\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/thoracic-outlet-syndrome-explained\\\/\",\"url\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/thoracic-outlet-syndrome-explained\\\/\",\"name\":\"Thoracic Outlet Syndrome (TOS) Explained | TOS Classification\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/thoracic-outlet-syndrome-explained\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/thoracic-outlet-syndrome-explained\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/www.physiotutors.com\\\/wp-content\\\/uploads\\\/2022\\\/11\\\/Thoracic-outlet-syndrome-explained.jpg\",\"datePublished\":\"2022-11-11T14:03:40+00:00\",\"dateModified\":\"2026-10-15T17:16:27+00:00\",\"description\":\"Thoracic Outlet Syndrome (TOS) is an arterial, venous, or neurological entrapment of the brachial plexus in the thoracic outlet.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/thoracic-outlet-syndrome-explained\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/thoracic-outlet-syndrome-explained\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/thoracic-outlet-syndrome-explained\\\/#primaryimage\",\"url\":\"https:\\\/\\\/www.physiotutors.com\\\/wp-content\\\/uploads\\\/2022\\\/11\\\/Thoracic-outlet-syndrome-explained.jpg\",\"contentUrl\":\"https:\\\/\\\/www.physiotutors.com\\\/wp-content\\\/uploads\\\/2022\\\/11\\\/Thoracic-outlet-syndrome-explained.jpg\",\"width\":1280,\"height\":720,\"caption\":\"Thoracic outlet syndrome explained\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/wiki\\\/thoracic-outlet-syndrome-explained\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.physiotutors.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Thoracic Outlet Syndrome Explained\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#website\",\"url\":\"https:\\\/\\\/www.physiotutors.com\\\/\",\"name\":\"Physiotutors\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.physiotutors.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#organization\",\"name\":\"Physiotutors\",\"url\":\"https:\\\/\\\/www.physiotutors.com\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.physiotutors.com\\\/wp-content\\\/uploads\\\/2021\\\/06\\\/PHY_Logo-Purple-2.svg\",\"contentUrl\":\"https:\\\/\\\/www.physiotutors.com\\\/wp-content\\\/uploads\\\/2021\\\/06\\\/PHY_Logo-Purple-2.svg\",\"width\":315,\"height\":65,\"caption\":\"Physiotutors\"},\"image\":{\"@id\":\"https:\\\/\\\/www.physiotutors.com\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/facebook.com\\\/physiotutors\",\"https:\\\/\\\/x.com\\\/physiotutors\",\"https:\\\/\\\/instagram.com\\\/physiotutors\",\"https:\\\/\\\/youtube.com\\\/physiotutors\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Thoracic Outlet Syndrome (TOS) Explained | TOS Classification","description":"Thoracic Outlet Syndrome (TOS) is an arterial, venous, or neurological entrapment of the brachial plexus in the thoracic outlet.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/","og_locale":"en_US","og_type":"article","og_title":"Thoracic Outlet Syndrome (TOS) Explained | TOS Classification","og_description":"Thoracic Outlet Syndrome (TOS) is an arterial, venous, or neurological entrapment of the brachial plexus in the thoracic outlet.","og_url":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/","og_site_name":"Physiotutors","article_publisher":"https:\/\/facebook.com\/physiotutors","article_modified_time":"2026-10-15T17:16:27+00:00","og_image":[{"width":1280,"height":720,"url":"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2022\/11\/Thoracic-outlet-syndrome-explained.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","twitter_site":"@physiotutors","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/","url":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/","name":"Thoracic Outlet Syndrome (TOS) Explained | TOS Classification","isPartOf":{"@id":"https:\/\/www.physiotutors.com\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/#primaryimage"},"image":{"@id":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/#primaryimage"},"thumbnailUrl":"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2022\/11\/Thoracic-outlet-syndrome-explained.jpg","datePublished":"2022-11-11T14:03:40+00:00","dateModified":"2026-10-15T17:16:27+00:00","description":"Thoracic Outlet Syndrome (TOS) is an arterial, venous, or neurological entrapment of the brachial plexus in the thoracic outlet.","breadcrumb":{"@id":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/#primaryimage","url":"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2022\/11\/Thoracic-outlet-syndrome-explained.jpg","contentUrl":"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2022\/11\/Thoracic-outlet-syndrome-explained.jpg","width":1280,"height":720,"caption":"Thoracic outlet syndrome explained"},{"@type":"BreadcrumbList","@id":"https:\/\/www.physiotutors.com\/wiki\/thoracic-outlet-syndrome-explained\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.physiotutors.com\/"},{"@type":"ListItem","position":2,"name":"Thoracic Outlet Syndrome Explained"}]},{"@type":"WebSite","@id":"https:\/\/www.physiotutors.com\/#website","url":"https:\/\/www.physiotutors.com\/","name":"Physiotutors","description":"","publisher":{"@id":"https:\/\/www.physiotutors.com\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.physiotutors.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/www.physiotutors.com\/#organization","name":"Physiotutors","url":"https:\/\/www.physiotutors.com\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/www.physiotutors.com\/#\/schema\/logo\/image\/","url":"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2021\/06\/PHY_Logo-Purple-2.svg","contentUrl":"https:\/\/www.physiotutors.com\/wp-content\/uploads\/2021\/06\/PHY_Logo-Purple-2.svg","width":315,"height":65,"caption":"Physiotutors"},"image":{"@id":"https:\/\/www.physiotutors.com\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/facebook.com\/physiotutors","https:\/\/x.com\/physiotutors","https:\/\/instagram.com\/physiotutors","https:\/\/youtube.com\/physiotutors"]}]}},"_links":{"self":[{"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/wiki\/12691","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/types\/wiki"}],"version-history":[{"count":1,"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/wiki\/12691\/revisions"}],"predecessor-version":[{"id":29809,"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/wiki\/12691\/revisions\/29809"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/media\/12692"}],"wp:attachment":[{"href":"https:\/\/www.physiotutors.com\/wp-json\/wp\/v2\/media?parent=12691"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}