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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}}}}
=== Purpose ===
=== Purpose ===
'''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
'''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.[https://scholar.google.com/scholar_url?url=https://www.sciencedirect.com/science/article/pii/S0363502316310553&hl=en&sa=T&oi=gsb&ct=res&cd=0&d=4037752522974006130&ei=LVSwYqqGI4OM6rQP9tS_0AU&scisig=AAGBfm2cyyIVCHlpy0V1R5DA8J4dq0SecQ埃尔bow 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).[https://scholar.google.com/scholar_url?url=https://journals.sagepub.com/doi/abs/10.1177/1941738115607208&hl=en&sa=T&oi=gsb&ct=res&cd=0&d=352230412025878152&ei=S1SwYs2EIcKN6rQP-9Ca6AM&scisig=AAGBfm2FL4WhZa8UdyLrkYClzETVcXzMaAUlnar 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).[https://scholar.google.com/scholar_url?url=https://www.orthopedic.theclinics.com/article/S0030-5898(14)00044-3/abstract&hl=en&sa=T&oi=gsb&ct=res&cd=0&d=11590001405890348092&ei=Z1SwYvrfBqCM6rQP46yK0AU&scisig=AAGBfm3LHz1YgjBK-soDsfFrM1SNrGrq3QThe 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[https://scholar.google.com/scholar_url?url=https://journals.lww.com/acsm-csmr/fulltext/2011/09000/Diagnosis_and_Management_of_Ulnar_Collateral.8.aspx&hl=en&sa=T&oi=gsb&ct=res&cd=0&d=7319564396914011112&ei=nVSwYovlOpyR6rQPoaOg2Ak&scisig=AAGBfm0u2_8SJI1ppGzcX2h5nyVTU_3IDADiagnosis 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
doi: 10.1249/JSR.0b013e31822d4000


=== Technique ===
=== Technique ===

Latest revision as of 12:58, 20 June 2022

Original Editor-Anas Mohamed Top Contributors-Anas MohamedandChelsea Mclene

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: 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]

修改挤奶机动[edit|edit source]

Step 1.Patient position: Standing or sitting.

Step 2.Patient's forearm is supinated and elbow is flexed to 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.埃尔bow 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. ↑2.02.1埃里克森,布兰登&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, FACSMDiagnosis 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. ↑修改挤奶机动. Ccedseminars. Available from:https://youtube%7CezmqCnjQCbg
  6. ↑Milking Maneuver. Check.physio. Available from:https://youtube%7CKhG6svSw3Ec
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