挤奶机动: Difference between revisions

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==== Milking Maneuver ====
==== Milking Maneuver ====
'''Step 1.''' Patient positionin standingor sitting.
'''Step 1.''' Patient position: Standingor sitting.


'''Step 2.''' Patient forearm is supinated and elbow is flexed 90 degree.
'''Step 2.''' Patient'sforearm is supinated and elbow is flexedto90 degree.


'''Step 3.''' Then患者对侧肢体orexaminer pulls patientthumplaterally which gives elbow valgus stress.
'''Step 3.''' Then examiner pullsthepatient的拇指laterally which gives elbow valgus stress.


'''Step 4.''' Pain, instability and apprehension shows positive sign.
'''Step 4.''' Pain, instability and apprehension shows positive sign.
Line 19: Line 19:


==== Modified Milking Maneuver ====
==== Modified Milking Maneuver ====
'''Step 1.''' Patient positionin standingor sitting.
'''Step 1.''' Patient position: Standingor sitting.


'''Step 2.''' Patient forearm is supinated and elbow is flexed 70 degree with shoulder adduction andexternally rotated.
'''Step 2.''' Patient'sforearm is supinated and elbow is flexedto70 degree with shoulderinadduction andexternal rotation.


'''Step 3.''' Then examiner pulls patientthumplaterally which gives elbow valgus stress.
'''Step 3.''' Then examiner pullsthepatient的拇指laterally which gives elbow valgus stress.


'''Step 4.''' Pain, instability and apprehension shows positive sign.
'''Step 4.''' Pain, instability and apprehension shows positive sign.


'''Step 5.''' Comparison can be done with the contralateral elbow.{{#ev:youtube|ezmqCnjQCbg|300}}Modified Milking Maneuver. Ccedseminars. Available from: https://youtube|ezmqCnjQCbg>
>{{#ev:youtube|KhG6svSw3Ec|300}}
Milking Maneuver. Check.physio. Available from: https://youtube|KhG6svSw3Ec
'''Step 5.''' Comparison can be done with the contralateral elbow.{{#ev:youtube|ezmqCnjQCbg|300}}Modified Milking Maneuver. Ccedseminars. Available from: https://youtube|ezmqCnjQCbg{{#ev:youtube|KhG6svSw3Ec|300}} Milking Maneuver. Check.physio. Available from: https://youtube|KhG6svSw3Ec


== References ==
== References ==
</div>
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[[Category:Elbow]]
[[Category:Elbow]]
[[Category:Elbow - Conditions]]
[[Category:Elbow - Conditions]]

Revision as of 12:55, 20 June 2022

Original Editor-Anas Mohamed Top Contributors-Anas MohamedandChelsea Mclene

Purpose[edit|edit source]

挤奶机动is 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]

挤奶机动[edit|edit source]

Step 1.Patient position: Standing or sitting.

Step 2.Patient's forearm is supinated and elbow is flexed to 90 degree.

Step 3.Then examiner pulls the patient's thumb 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: Standing or sitting.

Step 2.Patient's forearm is supinated and elbow is flexed to 70 degree with shoulder in adduction and external rotation.

Step 3.Then examiner pulls the patient's thumb 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]

[5]

[6]

References[edit|edit source]

  1. 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. 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. 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. 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
  5. Modified Milking Maneuver. Ccedseminars. Available from:https://youtube%7CezmqCnjQCbg
  6. 挤奶机动. Check.physio. Available from:https://youtube%7CKhG6svSw3Ec