Milking Maneuver

Purpose

Milking Maneuver is a elbow ligamentous injury test which evaluates the anterior and posterior bundle of the ulnar collateral ligament (UCL).

Technique

Milking Maneuver

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

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.