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Elbow Milking Maneuver

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Milking Maneuver
Demonstration of the milking maneuver
Milking Maneuver Test[1]
Elbow Milking Maneuver[2]
Self demonstrated version of the elbow milking maneuver[3]
  • Modified Milking Maneuver
  • Milking the UCL
  • Milking Maneuver
  • Milking Maneuver Test
  • UCL Milking Maneuver
  • Collateral Ligament Milking Test
  • Medial Elbow Milking Maneuver
  • Valgus Milking Test
  • UCL Stress Milking Test
  • Medial Elbow Valgus Stress Maneuver

Purpose

Description

  • Patient is seated or standing
  • Elbow and shoulder are flexed to 90°, forearm is supinated
  • The shoulder should be externally rotated (throwing position)
  • Physician pulls on the patients thumb
    • Optionally, the patient can be moved across a range of motion
  • Positive test:
    • Apprehension, instability, pain

Modified milking maneuver

  • The patient is seated with the arm positioned at 70° of flexion, adduction, and maximal external rotation.
  • This position is supported by the patient’s other arm.
  • The examiner palpates the medial joint line with their thumb
  • Fully supinate the patient’s forearm and pull on the patient’s thumb exerting a valgus force to the elbow.
  • Positive test
    • Apprehension
    • Instability
    • Medial joint pain.

Pathology

Evidence

  • Unknown

See Also

References

  1. ↑ Dove, James, et al. "Youth Elbow Throwing Injuries." JPOSNA® 3.4 (2021).
  2. ↑ Erickson, Brandon J., et al. "Ulnar collateral ligament reconstruction: anatomy, indications, techniques, and outcomes." Sports Health 7.6 (2015): 511-517.
  3. ↑ Ellenbecker, Todd S., et al. "Rehabilitation of the Elbow of the Throwing Athlete." (2012).
Created by:
John Kiel on 29 December 2019 02:53:04
Authors:
Last edited:
20 February 2026 21:39:02
Category:
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