{"id":11739,"date":"2022-09-07T12:34:18","date_gmt":"2022-09-07T10:34:18","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=11739"},"modified":"2022-09-07T12:34:18","modified_gmt":"2022-09-07T10:34:18","slug":"modified-milking-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/modified-milking-test\/","title":{"rendered":"Modified Milking Test"},"featured_media":11740,"template":"","class_list":["post-11739","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":11740,"background_image_alt_text":"Modified Milking Test"},"heading":"Modified Milking Test | Medial Collateral Ligament Assessment","subheading":"Elbow Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Modified Milking Test | Medial Collateral Ligament<\/h2>\nMedial or valgus instability of the elbow is the result of a sprain to the medial collateral ligament also known as ulnar collateral ligament and is an injury more often seen in overhead athletes.\n\nThe Modified Milking maneuver aims to exert a valgus force on the elbow and thus provoke the injured ligament.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=SwigwaZxBXE[\/embed]\n\n<\/div>\nTo conduct the modified milking maneuver, have the patient sitting with the arm positioned at around 70\u00b0 of flexion, adduction, and maximal external rotation. This position is supported by the patient's other arm. Positioning the elbow at 70\u00b0 of flexion has been identified in a cadaver study as the position of greatest valgus laxity.\n\nProceed by palpating the medial joint line with your thumb. Then, fully supinate the patient's forearm and pull on the patient's thumb exerting a valgus force to the elbow.\n\nA positive test may show apprehension, instability, and medial joint pain.\n\nOther orthopedic tests to evaluate the integrity of the medial collateral ligament of the elbow are the Moving Valgus Stress Tes<\/a>t and the Valgus Instability Stress Test<\/a>.\n\n \n\n[cta]\n"}},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

References<\/h4>"},"column_right":{"content_editor":"Hariri, S., & Safran, M. R. (2010). Ulnar collateral ligament injury in the overhead athlete.\u00a0Clinics in sports medicine<\/i>,\u00a029<\/i>(4), 619-644.<\/a>"}},{"acf_fc_layout":"cta-image-v2","layout":"","background":"transparent","heading":"","content_editor":"

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