Milking Maneuver Special Test

What is it used for?

• Detecting partial tears or insufficiency of the Posterior Band of the UCL.

How to Perform

• Position: Patient sits with the elbow flexed to 90° and forearm supinated (palm up).
• Action: The examiner grasps the patient's thumb.
• Force: Pull the thumb backward to create a valgus stress on the elbow (mimicking pulling a cow's udder).

Interpretation of Results

• Positive Test: Reproduction of pain, apprehension, or instability at the medial elbow.

References

• Magee, D. J. (2021). Orthopedic Physical Assessment.
• Orthofixar | Milking Maneuver