Your activity: 6 p.v.

Milking maneuver for the elbow medial collateral ligament

Milking maneuver for the elbow medial collateral ligament
The Milking maneuver places valgus stress on the medial (or ulnar) collateral ligament of the elbow in a throwing position. With the patient's affected extremity in 90 degrees of shoulder abduction and maximal external rotation, elbow flexed to about 90 degrees, and forearm supinated, the clinician grasps the patient's thumb and applies valgus stress to the elbow by pulling on the thumb. A soft endpoint or increased medial elbow widening compared to the unaffected extremity marks a positive test.
Courtesy of Neeru Jayanthi, MD and Craig Young, MD.
Graphic 68632 Version 4.0