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Wrights Test

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Wright’s Test
Demonstration of Wright's Test
Wright’s hyperabduction test compresses the brachial plexus as it passes through the coracopectoral tunnel[1]
  • Hyperabduction Test
  • Wright’s Test
  • Wright's Hyperabduction Test

Purpose

Description

  • The patient is seated
  • Examiner passively brings affected limb into abduction and external rotation to 90°
  • Elbow flexed no more than 45°, arm held in this position for 1 minute
    • The patient can be asked to take a deep breath
  • Monitor radial pulse and patients symptoms
  • Now the examiner repeats the same test with the arm in hyperabduction over the patients head
  • Positive Test
    • Decrease in radial pulse
    • Reproduction of patients symptoms

Pathology

Evidence

Thoracic Outlet Syndrome

  • Gillard et al[2]
    • Sensitivity: 72%
    • Specificity: 53%

See Also

References

  1. ↑ Jordan, A. G., J. D. Clinton, and E. E. Dennis. "Clinical brief: neurogenic thoracic outlet syndrome." Topics in Integrative Health Care 4.3 (2013): 1-11.
  2. ↑ Gillard, Jérôme, et al. "Diagnosing thoracic outlet syndrome: contribution of provocative tests, ultrasonography, electrophysiology, and helical computed tomography in 48 patients." Joint Bone Spine 68.5 (2001): 416-424.
Created by:
John Kiel on 23 July 2019 23:47:18
Authors:
Last edited:
18 April 2025 14:33:11
Category:
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