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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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