Milking Maneuver: Difference between revisions
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'''Original Editor '''- [[User:Anas Mohamed|Anas Mohamed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} |
'''Original Editor '''- [[User:Anas Mohamed|Anas Mohamed]] '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}} |
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=== Purpose === |
=== Purpose === |
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'''Milking Maneuver''' is a [//m.houseofhawgs.com/Elbow_Ligamentous_Injuries?utm_source=physiopedia&utm_medium=search&utm_campaign=ongoing_internal#share elbow ligamentous injury] test which evaluates the anterior and posterior bundle of the ulnar collateral ligament ( |
'''Milking Maneuver''' is a [//m.houseofhawgs.com/Elbow_Ligamentous_Injuries?utm_source=physiopedia&utm_medium=search&utm_campaign=ongoing_internal#share elbow ligamentous injury] test which evaluates the anterior and posterior bundle of the ulnar collateral ligament (Valgus instability).Karbach LE, Elfar J. Elbow Instability: Anatomy, Biomechanics, Diagnostic Maneuvers, and Testing. J Hand Surg Am. 2017 Feb;42(2):118-126. doi: 10.1016/j.jhsa.2016.11.025. PMID: 28160902; PMCID: PMC5821063.Erickson, Brandon & Harris, Joshua & Chalmers, Peter & Bach, Bernard & Verma, Nikhil & Bush-Joseph, Charles & Romeo, Anthony. (2015). Ulnar Collateral Ligament Reconstruction: Anatomy, Indications, Techniques, and Outcomes. Sports health. 7. 511-517. 10.1177/1941738115607208. Patel, Ronak & Lynch, T. Sean & Amin, Nirav & Calabrese, Gary & Gryzlo, Stephen & Schickendantz, Mark. (2014). The Thrower's Elbow. The Orthopedic clinics of North America. 45. 355-376. 10.1016/j.ocl.2014.03.007. Freehill, Michael T. MD; Safran, Marc R. MD, FACSM Diagnosis and Management of Ulnar Collateral Ligament Injuries in Throwers, Current Sports Medicine Reports: September 2011 - Volume 10 - Issue 5 - p 271-278 |
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doi: 10.1249/JSR.0b013e31822d4000 |
doi: 10.1249/JSR.0b013e31822d4000 |
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=== Technique === |
=== Technique === |
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==== Milking Maneuver ==== |
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'''Step 1.''' Patient position in standing or sitting. |
'''Step 1.''' Patient position in standing or sitting. |
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'''Step 4.''' Pain, instability and apprehension shows positive sign. |
'''Step 4.''' Pain, instability and apprehension shows positive sign. |
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'''Step 5.''' Comparison can be done with the contralateral elbow. |
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==== Modified Milking Maneuver ==== |
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'''Step 1.''' Patient position in standing or sitting. |
'''Step 1.''' Patient position in standing or sitting. |
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'''Step 4.''' Pain, instability and apprehension shows positive sign. |
'''Step 4.''' Pain, instability and apprehension shows positive sign. |
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'''Step 5.''' Comparison can be done with the contralateral elbow. |
'''Step 5.''' Comparison can be done with the contralateral elbow.<ref name=":0"/><ref name=":3"/>{{#ev:youtube|ezmqCnjQCbg|300}}Modified Milking Maneuver. Ccedseminars. Available from: https://youtube|ezmqCnjQCbg row">{{#ev:youtube|KhG6svSw3Ec|300}} col-md-6"> |
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col-md-6"> {{#ev:youtube|KhG6svSw3Ec|300}}
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== References == |
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== References |
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[[Category:Elbow]] |
[[Category:Elbow]] |
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Revision as of 12:46, 20 June 2022
Purpose[edit|edit source]
Milking Maneuveris aelbow ligamentous injurytest which evaluates the anterior and posterior bundle of the ulnar collateral ligament (Valgus instability).[1][2][3][4]
Technique[edit|edit source]
Milking Maneuver[edit|edit source]
Step 1.Patient position in standing or sitting.
Step 2.病人前臂supinated and elbow is flexed 90 degree.
Step 3.Then patients contralateral extremity or examiner pulls patient thump laterally which gives elbow valgus stress.
Step 4.Pain, instability and apprehension shows positive sign.
Step 5.Comparison can be done with the contralateral elbow.[2][3]
Modified Milking Maneuver[edit|edit source]
Step 1.Patient position in standing or sitting.
Step 2.病人前臂supinated and elbow is flexed 70 degree with shoulder adduction and externally rotated.
Step 3.Then examiner pulls patient thump laterally which gives elbow valgus stress.
Step 4.Pain, instability and apprehension shows positive sign.
Step 5.Comparison can be done with the contralateral elbow.[1][4]
References[edit|edit source]
- ↑1.01.1Karbach LE, Elfar J. Elbow Instability: Anatomy, Biomechanics, Diagnostic Maneuvers, and Testing. J Hand Surg Am. 2017 Feb;42(2):118-126. doi: 10.1016/j.jhsa.2016.11.025. PMID: 28160902; PMCID: PMC5821063.
- ↑2.02.1Erickson, Brandon & Harris, Joshua & Chalmers, Peter & Bach, Bernard & Verma, Nikhil & Bush-Joseph, Charles & Romeo, Anthony. (2015). Ulnar Collateral Ligament Reconstruction: Anatomy, Indications, Techniques, and Outcomes. Sports health. 7. 511-517. 10.1177/1941738115607208.
- ↑3.03.1Patel, Ronak & Lynch, T. Sean & Amin, Nirav & Calabrese, Gary & Gryzlo, Stephen & Schickendantz, Mark. (2014). The Thrower's Elbow. The Orthopedic clinics of North America. 45. 355-376. 10.1016/j.ocl.2014.03.007.
- ↑4.04.1Freehill, Michael T. MD; Safran, Marc R. MD, FACSM Diagnosis and Management of Ulnar Collateral Ligament Injuries in Throwers, Current Sports Medicine Reports: September 2011 - Volume 10 - Issue 5 - p 271-278 doi: 10.1249/JSR.0b013e31822d4000
- ↑Modified Milking Maneuver. Ccedseminars. Available from:https://youtube%7CezmqCnjQCbg
- ↑Milking Maneuver. Check.physio. Available from:https://youtube%7CKhG6svSw3Ec
