Milking Maneuver: Difference between revisions
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=== Purpose === | === Purpose === | ||
Milking Maneuver is a elbow ligamentous injury test which evaluates the anterior and posterior bundle of the ulnar collateral ligament (UCL). | '''Milking Maneuver''' is a [https://www.physio-pedia.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 (UCL).<ref name=":0">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.</ref><ref name=":1">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. </ref><ref name=":2">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. </ref><ref name=":3">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 | ||
doi: 10.1249/JSR.0b013e31822d4000 </ref> | |||
=== Technique === | === Technique === | ||
==== Milking Maneuver ==== | ==== Milking Maneuver<ref name=":1" /><ref name=":2" /> ==== | ||
'''Step 1.''' Patient position in standing or sitting. | '''Step 1.''' Patient position in standing or sitting. | ||
'''Step 2.''' Patient forearm is supinated and elbow is flexed 90 degree | '''Step 2.''' Patient forearm is supinated and elbow is flexed 90 degree. | ||
'''Step 3.''' Then examiner pulls patient thump laterally which gives elbow valgus stress. | '''Step 3.''' Then examiner pulls patient thump laterally which gives elbow valgus stress. | ||
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'''Step 5.''' Comparison can be done with the contralateral elbow. | '''Step 5.''' Comparison can be done with the contralateral elbow. | ||
==== Modified Milking Maneuver ==== | ==== Modified Milking Maneuver<ref name=":0" /><ref name=":3" /> ==== | ||
'''Step 1.''' Patient position in standing or sitting. | '''Step 1.''' Patient position in standing or sitting. | ||
Revision as of 20:43, 26 July 2021
Purpose[edit | edit source]
Milking Maneuver is a elbow ligamentous injury test which evaluates the anterior and posterior bundle of the ulnar collateral ligament (UCL).[1][2][3][4]
Technique[edit | edit source]
Milking Maneuver[2][3][edit | edit source]
Step 1. Patient position in standing or sitting.
Step 2. Patient forearm is supinated and elbow is flexed 90 degree.
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.
Modified Milking Maneuver[1][4][edit | edit source]
Step 1. Patient position in standing or sitting.
Step 2. Patient forearm is 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.
- ↑ 1.0 1.1 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.
- ↑ 2.0 2.1 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.
- ↑ 3.0 3.1 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.
- ↑ 4.0 4.1 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 doi: 10.1249/JSR.0b013e31822d4000
