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This Concept Map has information related to: shoulder injury dls, scalenectomy removes a part of the scalene muscle that may cause compression takes 1-2 hours, Provocative Elevation Test positive sign increased pulse and hand temperature, skin color returns to normal, similar to what it feels like after an arm falls asleep and blood flow returns, Allen's Test positive sign diminished or absent pulse, neurological s/s - numbness, tingling or aching p! in neck, across shoulder, and down medial arm - weakness in grip - atrophy in hand muscles, neurological caused by abnormal nerve stretch or compression, Thoracic Outlet Syndrome management immediate referral, diminished or absent pulse indicates subclavian artery is being occluded by costoclavicular structures, diminished or absent pulse indicates subclavian artery is being occluded between anterior and middle scalene muscles, Thoracic Outlet Syndrome how to avoid - correct posture - stretches - even strength *shrugs, protraction, retraction, core, Thoracic Outlet Syndrome special tests Adson's Test anterior scalene syndrome test