Comparing first rib resection and avulsion for treating thoracic outlet syndrome

First Rib Resection Versus Avulsion for the Management of Thoracic Outlet Syndrome

Not applicable Interventional University of Sulaimani · NCT06095700

This study is testing whether removing the first rib or pulling it off helps people with thoracic outlet syndrome recover better and feel less pain after surgery.

Quick facts

PhaseNot applicable
Study typeInterventional
Enrollment50 (estimated)
SexAll
SponsorUniversity of Sulaimani Academic / other
Locations1 site (Sulaymaniyah)
Trial IDNCT06095700 on ClinicalTrials.gov

What this trial studies

This study aims to evaluate the effectiveness of two surgical approaches for treating thoracic outlet syndrome: first rib resection and first rib avulsion. The research is motivated by the observation that avulsion may lead to better outcomes and less post-operative pain compared to traditional resection. By comparing these two methods, the study seeks to provide clearer guidance on the optimal surgical intervention for patients suffering from this condition. The trial will include patients diagnosed with neurogenic thoracic outlet syndrome and will assess their recovery and pain levels post-surgery.

Who should consider this trial

Good fit: Ideal candidates for this study are patients diagnosed with neurogenic thoracic outlet syndrome.

Not a fit: Patients with vascular types of thoracic outlet syndrome may not benefit from this study.

Why it matters

Potential benefit: If successful, this study could lead to improved surgical outcomes and reduced pain for patients with thoracic outlet syndrome.

How similar studies have performed: While there is ongoing debate about the best surgical approach for thoracic outlet syndrome, this specific comparison of rib avulsion versus resection is relatively novel.

Eligibility criteria

Show full inclusion / exclusion criteria
Inclusion Criteria: any patient diagnosed as a case of neurogenic thoracic outlet syndrome -

Exclusion Criteria: patients with other types of thoracic outlet syndrome (vascular TOS)

\-

Where this trial is running

Sulaymaniyah

Study contacts

How to participate

  1. Review the eligibility criteria above with your treating physician.
  2. Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
  3. Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions Thoracic Outlet Syndrome
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.