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Milking Maneuver Elbow

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Other Names

  • Modified Milking Maneuver
  • Milking the UCL
  • Milking Maneuver


Milking Maneuver
Demonstration of the milking maneuver


  • 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.



  • Unknown

See Also


Created by:
John Kiel on 29 December 2019 02:53:04
Last edited:
19 April 2023 22:41:28