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The milking maneuver tests the AMCL; it is performed with the shoulder externally rotated and the elbow flexed beyond 90°. A valgus force is applied by pulling the patient’s thumb while the examiner’s other hand stabilizes the elbow and palpates the medial joint line.
29 lut 2024 · milking maneuver. creates valgus stress by pulling on the patient's thumb with the forearm supinated and elbow flexed at 90 degrees. patient may be supine or seated/standing. positive test is a subjective apprehension, instability, or pain at the MCL origin. 87.5% sensitive with a negative predictive value of 100%.
Through trauma and overuse, classic instability patterns arise by loss of these important stabilizers. The diagnosis of elbow instability can made using specific examination maneuvers and testing to diagnose the clinical pattern. This article reviews the elbow’s unique anatomy and biomechanical characteristics.
13 wrz 2024 · Medial Ulnar Collateral Ligament Injuries are characterized by attenuation or rupture of the ulnar collateral ligament of the elbow leading to valgus instability in overhead throwing athletes. Diagnosis is usually made by a combination of physical exam and MRI studies.
8 sie 2024 · Lateral Ulnar Collateral Ligament Injury is a ligamentous elbow injury usually associated with a traumatic elbow dislocation, and characterized by posterolateral subluxation or dislocation of the radiocapitellar and ulnohumeral joints.
17 cze 2023 · Physical examination for the evaluation of valgus instability is consistent of Valgus Stress Test, the Moving Valgus Stress Test, and The Milking Maneuver. This chapter reviews general and focused physical examination maneuvers of the unstable elbow with regard to the unique elbow anatomy and biomechanics.
