Adson's Test Research Articles

Scalenus Syndrome (the first report)

The present study is a review of the cases of 25 patients who allowed to enter this hospital for further evaluation and diagnosed Scalenus Syndrome from '68 Nov. to '70 Oct.We classified under the following three type; vascular type, neurological type and combined type.1. In angiography, the stenosis or obstruction was observed in vascular type, but, no stenosis was observed in neurological type.2. In motor and sensory nerve action potential the delay of velocity motor nerves and sensory nerves could not be observed, but the amplitude of sensory nerves decreased in 2 cases with neurological and combined type.3. The autonomic nerve system test was showed abnormality in 8 cases of 10.4. Allen test was of no value as diagnostic test. Adson test was seen in 50% patients positive and Halstead test was 70% positive.

Periodic Physical Examination for Key Punchers

The so-called key-punchers disorders have chiefly orthopedic symptoms associated with some of ophthalmological and psychiatric symptoms and are not always peculiar to key-punchers. We have conducted a periodic physical examination for key-punchers once or twice a year, which has proved considerably effective.The items of the examination include a neurological test for tension sign, Adson's test, Morley's test, Tinel's sign, and checking tenderness, pain in motion and mass of the flexor tendons in the finger joint regions. An x-ray examination of the cervical spine is usually done with six radiographs taken antero-posteriorly, laterally, obliquely and with the cervical spine bending forward and backward. C. M. I. is employed for a mental test and Y-G test for a character test. Thus, the subjects are examined both physically and mentally.As the result, tension sign are positive in 52%, Adson's test 17%, Morley's test 38%, Tinel's sign 12.5%, flexion test 5.6%. As mentioned above, a relatively high incidence of positive reaction is noted in the neurological test. The subjects who are considered to be a neurotic by the Fukamachi's Judge show a higher incidence of positive neurological test.