Elbow Assessment

Modified Milking Test | Medial Collateral Ligament Assessment

Check our shop
Modified Milking Test

Modified Milking Test | Medial Collateral Ligament

Medial 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.

The Modified Milking maneuver aims to exert a valgus force on the elbow and thus provoke the injured ligament.

To conduct the modified milking maneuver, have the patient sitting with the arm positioned at around 70° of flexion, adduction, and maximal external rotation. This position is supported by the patient’s other arm. Positioning the elbow at 70° of flexion has been identified in a cadaver study as the position of greatest valgus laxity.

Proceed 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.

A positive test may show apprehension, instability, and medial joint pain.

Other orthopedic tests to evaluate the integrity of the medial collateral ligament of the elbow are the Moving Valgus Stress Test and the Valgus Instability Stress Test.

 

21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE

Physiotutors Free Assessment E-book

References

Hariri, S., & Safran, M. R. (2010). Ulnar collateral ligament injury in the overhead athlete. Clinics in sports medicine29(4), 619-644.

LIKE WHAT YOU’RE LEARNING?

BUY THE FULL PHYSIOTUTORS ASSESSMENT BOOK

  • 600+ Pages e-Book
  • Interactive Content (Direct Video Demonstration, PubMed articles)
  • Statistical Values for all Special Tests from the latest research
  • Clinical Value Recommendation
  • Detailed descriptions & searchable
  • Currently on Version 6.0 – Free lifetime updates
  • Available in 🇬🇧 🇩🇪 🇫🇷 🇪🇸 🇮🇹 🇵🇹 🇹🇷
  • And much more!
E-Book

ALL ORTHOPEDIC TESTS IN ONE PLACE

SEE ALL PRODUCTS
Assessment app banner
Assessment E-book
Reviews

What customers have to say about the Assessment E-Book

Check out our all in one book!
Download our FREE app