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Costoclavicular Maneuver for Thoracic Outlet Syndrome To perform the Costoclavicular Maneuver, draw the patient's shoulders inferiorly and posteriorly. If patient has reproduction of arm pain or numbness, consider thoracic outlet syndrome. Video via @open_michigan #Costoclavicular #Maneuver #Thoracic #Outlet #Syndrome #Shoulder #PhysicalExam #clinical #video #sports #msk #orthopedics #vascular