Milking Maneuver

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]

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]