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The costoclavicular test is a clinical examination used to assess for thoracic outlet syndrome, particularly when symptoms are related to compression of the neurovascular structures in the space between the clavicle and the first rib. During the test, the patient is asked to assume a position that compresses this space—often by extending and elevating the arm while the clinician palpates the radial pulse. A positive result is indicated by a decrease or disappearance of the radial pulse, suggesting potential vascular compromise. This test helps guide further diagnostic evaluation and management of thoracic outlet syndrome.

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