ORPHA:97330
Thoracic outlet syndrome
Also known as: TOS · Thoracic outlet compression syndrome
Publications
5,367
Trials
15
Interventional, condition-specific
Researchers
877
Distinct authors in sample
Gene link
—
Readiness
3/6
Stages with a signal
Clinical definition (Orphanet)
Thoracic outlet syndrome (TOS) is a group of disorders characterized by paresthesias, pain and weakness of the upper extremities due to compression, tension or inflammation of the neurovascular bundle as it passes through the thoracic outlet. There are 3 forms of TOS with different clinical pictures and etiologies: neurogenic TOS (NTOS) that can be divided into true or disputed forms, arterial TOS (ATOS) and venous TOS (VTOS).
How rare: How common this is has not been clearly measured.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0005979
- MeSH:D013901
- UMLS:C0039984
- NCIT:C85188
Additional Mondo synonyms (1)
thoracic outlet compression syndrome
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
3/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
5,367 matched papers (2,295 in last 10 years) Source
- Phenotype characterisedPresent
19 HPO annotations (e.g. Abnormal rib morphology; Muscle weakness; Arthralgia) Source
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPresent
15 matched on ClinicalTrials.gov (3 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
19
Associated phenotypes · MONDO:0005979
- Abnormal rib morphology
- Muscle weakness
- Arthralgia
- Myalgia
- Paresthesia
Showing 5 of 19 — open Monarch for the full list.
Animal models (Monarch / Alliance)
None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
2
Drugs / clinical candidates · MONDO_0005979
- BOTULINUM TOXIN TYPE A·phase 2
- ONABOTULINUMTOXINA·phase 1
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
5,367
5,367 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
5,367 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
2,295 in the last 10 years · low confidence
Phrase hits: 5,367 · MeSH hits: 162
Who's working on it?
877
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Chim H9 papers · 2026
University of Florida, Division of Plastic & Reconstructive Surgery, Gainesville, FL
Papers in Europe PMC - 02Shekouhi R5 papers · 2026
University of Florida, Division of Plastic & Reconstructive Surgery, Gainesville, FL
Papers in Europe PMC - 03Suzuki T5 papers · 2025
Department of Orthopaedic Surgery, Keio University School of Medicine, Tokyo, Japan.
Papers in Europe PMC - 04de Borst GJ4 papers · 2026
Department of Vascular Surgery, University Medical Centre Utrecht, Utrecht, the Netherlands. Electronic address: G.J.deBorst-2@umcutrecht.nl.
Papers in Europe PMC - 05Mumtaz M4 papers · 2025
University of Florida, Division of Plastic & Reconstructive Surgery, Gainesville, FL
Papers in Europe PMC - 06Petri BJ4 papers · 2026
Department of Vascular Surgery, University Medical Centre Utrecht, Utrecht, the Netherlands.
Papers in Europe PMC - 07Abraham P3 papers · 2026
Vascular Medicine Department, University Hospital, Angers, France; UMR CNRS 1083 INSERM 6015, LUNAM University, Angers, France; Sports and exercise Medicine Department, University Hospital, Angers, France.
Papers in Europe PMC - 08Ahmed SH3 papers · 2025
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Florida, Gainesville, FL, USA.
Papers in Europe PMC - 09Babis G3 papers · 2026
2nd Department of Orthopaedics, Konstantopouleio Hospital, National and Kapodistrian University of Athens, 105 59 Athens, Greece;
Papers in Europe PMC - 10Castilletti V3 papers · 2026
Department of General Thoracic Surgery, 401 Military Hospital of Athens, 115 25 Athens, Greece;
Papers in Europe PMC
Clinical research
Is a treatment being tested?
15
interventional trials for this specific condition
15 interventional trials matched this specific condition name; 3 currently recruiting in our sample.
Data as of 11 September 2026
15 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 94th percentile).
low confidence · 94th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
15 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT07535853·NOT YET RECRUITING·Effect of Low-Power Laser Therapy on Pain and Functional Outcomes in Patients With Thoracic Outlet Syndrome
Not reviewed·Conditions: Thoracic Outlet Syndrome·Matched via name + MeSH
- NCT07668206·NOT YET RECRUITING·Motivational Interviewing in Thoracic Outlet Syndrome
Not reviewed·Conditions: Thoracic Outlet Syndrome·Matched via name + MeSH
- NCT05544721·ENROLLING BY INVITATION·A Study of Paravertebral Block in Thoracic Outlet Syndrome
Not reviewed·Conditions: Thoracic Outlet Syndrome·Matched via name + MeSH
Observational and natural-history studies
15 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT06172101·RECRUITING·Free Fat Flap In Recurrent Neurogenic Thoracic Outlet Syndrome Surgical Treatment
Not reviewed·Conditions: Neurogenic Thoracic Outlet Syndrome·Matched via name + MeSH
- NCT06992752·RECRUITING·Dysfunctional Breathing in Individuals With Thoracic Outlet Syndrome
Not reviewed·Conditions: Thoracic Outlet Syndrome·Matched via name + MeSH
- NCT05628948·RECRUITING·Vascular Lab Resource (VLR) Biorepository
Not reviewed·Conditions: Cardiovascular Diseases · Metabolic Disease · Peripheral Artery Disease · Carotid Disease·Matched via name + MeSH
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 10 · after dedupe 10 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 10 · dropped 0 · fetched 2026-07-30
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (10)
- isrctn·ISRCTN13309889·No longer recruiting·Measuring the effectiveness of a novel treatment of chronic tennis elbow: the ArmLock sleeve
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN57406480·No longer recruiting·Clinical efficacy of ultra-laser irradiation combined with gabapentin on elderly patients with cervical spondylotic radiculopathy
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN91919572·No longer recruiting·Comparing the effectiveness of two treatments for severe cubital tunnel syndrome
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN16755281·No longer recruiting·Comparing platelet-rich plasma extracted from a patient's own blood with corticosteroid injections in the treatment of carpal tunnel syndrome
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN13164336·No longer recruiting·The Dutch injection versus operation trial in carpal tunnel syndrome patients
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN82191749·No longer recruiting·NEOPA: Sequential NEOadjuvant chemoradiotherapy (CRT) followed by curative surgery vs. primary surgery alone for resectable, non-metastasized Pancreatic Adenocarcinoma
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN62431186·No longer recruiting·Assessing the effectiveness of a lateral glide cervical spine mobilisation on cervicobrachial (neck and arm) pain
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN76896018·No longer recruiting·Effect of acupuncture treatment on stiff neck
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN41236511·No longer recruiting·Extracorporeal shock wave therapy for the treatment of chronic non-calcific tendinopathy of the supraspinatus
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN18853827·No longer recruiting·Splinting or surgery for carpal tunnel syndrome
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Thoracic outlet syndrome — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Thoracic outlet syndrome" OR "Thoracic outlet compression syndrome"
MeSH descriptor terms unioned into the query: Thoracic Outlet Syndrome
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Thoracic outlet syndrome" OR "Thoracic outlet compression syndrome"
Interventional trials matched via: both (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 15 interventional · 15 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase, mesh; with hits: phrase, mesh
Run this search on ClinicalTrials.gov
Synonyms dropped by stoplist: TOS
Confidence reasoning
- Preferred label is multi-word and distinctive
- 1 synonym(s) dropped by stoplist (may under-count)
- No label/synonym collisions with other diseases in this corpus
- Publication count (5367) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-27T05:10:25.171Z
