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This test compresses the neurovascular bundle in the costoclavicular space, which is referred to as costoclavicular syndrome. No diagnostic accuracy studies have been conducted reporting sensitivity or specificity values, which is why its clinical value remains questionable. Some authors mention that additional narrowing of the costoclavicular space can be reached if the patient is asked to hold his breath after a deep inhalation as the first rib is elevated and further brought toward the clavic
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Costoclavicular Maneuver for TOS holding each position for up to 30 s, while the patient rests his or her forearms on his thighs. The examiner simultaneously monitors a change in pulse and symptom onset and notes which positions exacerbate or ease symptoms. studies have been conducted reporting sensitivity or specificity values, which is why its clinical value remains questionable. The value of this battery of test positions is then also rather evaluate which positions provoke and relieve sympto
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