Which description correctly states the Wright's test protocol?

Which description correctly states the Wright's test protocol?

• A. Arm is adducted with the scapula stabilized and the radial pulse monitored.
• B. Arm is abducted and externally rotated to near end range while radial pulse and symptoms are monitored.
• C. Arm is extended behind the back to test mobility.
• D. Arm is raised overhead with the elbow extended.

Answer: (B)

Wright's test assesses thoracic outlet syndrome by stressing the neurovascular bundle in the space behind the pectoralis minor. The maneuver places the arm in maximal abduction with external rotation, near the end range, while you watch the radial pulse and check for symptoms. If the pulse weakens or disappears and symptoms appear, it suggests compression in the costoclavicular or pectoralis minor region. This precisely matches the description of abducting the arm to near end range with pulse and symptom monitoring.

Wright's test assesses thoracic outlet syndrome by stressing the neurovascular bundle in the space behind the pectoralis minor. The maneuver places the arm in maximal abduction with external rotation, near the end range, while you watch the radial pulse and check for symptoms. If the pulse weakens or disappears and symptoms appear, it suggests compression in the costoclavicular or pectoralis minor region. This precisely matches the description of abducting the arm to near end range with pulse and symptom monitoring.