Indications:

Wright’s test is a shoulder examination used to test for Thoracic Outlet Syndrome.

Procedure:

  1. Patient seated, examiner palpates radial pulse, then horizontally abducts patient’s arm.
Wright's test for shoulder

Patient seated, examiner palpates radial pulse, then horizontally abducts patient’s arm.

Interpretation:

Positive Diminished pulse on affected side more than on unaffected side & reproduction of symptoms associated with axillary artery or brachial plexus compression → TOS hyperabduction syndrome.

Clinical notes:

Synonym: hyperabduction maneuver
Many patients demonstrate a loss of radial plse on this exam without a hyperabduction syndrome being present (false (+)).