{"id":177213,"date":"2026-08-13T12:01:17","date_gmt":"2026-08-13T12:01:17","guid":{"rendered":"https:\/\/pabau.com\/?p=177213"},"modified":"2026-08-13T13:29:56","modified_gmt":"2026-08-13T13:29:56","slug":"milking-maneuver","status":"publish","type":"post","link":"https:\/\/pabau.com\/fr\/templates\/milking-maneuver\/","title":{"rendered":"Milking maneuver: How to perform, interpret, and document it"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"Milking maneuver: How to perform, interpret, and document it\",\"description\":\"A clinical guide to the milking maneuver at the elbow, covering patient position, the six steps of the test, how to read a positive result, what the accuracy evidence supports, and a free downloadable assessment form.\",\"url\":\"https:\/\/pabau.com\/templates\/milking-maneuver\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"mainEntity\":{\"@type\":\"DigitalDocument\",\"name\":\"Milking Maneuver Assessment Form\",\"description\":\"A one-page clinical form for recording the milking maneuver: patient details, the test procedure, a positive or negative result, additional notes, and clinician sign-off.\",\"encodingFormat\":\"application\/pdf\",\"url\":\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/templates\/milking-maneuver\/milking-maneuver.pdf\",\"inLanguage\":\"en\",\"isAccessibleForFree\":true,\"offers\":{\"@type\":\"Offer\",\"price\":\"0\",\"priceCurrency\":\"GBP\",\"availability\":\"https:\/\/schema.org\/InStock\"},\"hasDigitalDocumentPermission\":{\"@type\":\"DigitalDocumentPermission\",\"permissionType\":\"https:\/\/schema.org\/ReadPermission\"},\"author\":{\"@type\":\"Organization\",\"name\":\"Pabau\",\"url\":\"https:\/\/www.pabau.com\"},\"datePublished\":\"2026-08-13\"},\"datePublished\":\"2026-08-13\",\"dateModified\":\"2026-08-13\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The milking maneuver stresses the posterior band of the elbow&rsquo;s medial collateral ligament by pulling on the patient&rsquo;s thumb.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Flex the elbow past 90 degrees and keep the forearm supinated, palm up, or the ligament stays unloaded.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Pain, laxity, or apprehension at the medial joint line counts as a positive result.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Diagnostic accuracy is not well established, so the test belongs in a cluster rather than on its own.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau files the completed form, the result, and the follow-up plan in one patient record.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<div style=\"background: linear-gradient(135deg, #E2F2FD 0%, #DFE3FD 100%); border-radius: 16px; padding: 40px; margin: 32px 0;\">\n<h2 style=\"margin: 0 0 12px 0; font-size: 22px; color: #121d36;\">Download your free milking maneuver assessment form<\/h2>\n<p style=\"margin: 0 0 20px 0; color: #444; font-size: 15px;\">A one-page clinical form with patient details, the test procedure, a positive or negative result selection, and space for additional notes. It closes with clinician name, license number, and signature fields, so the sheet is ready for the chart.<\/p>\n<a style=\"display: inline-block; background: #037CD2; color: #fff; padding: 14px 28px; border-radius: 8px; text-decoration: none; font-weight: 600; font-size: 15px;\" href=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/templates\/milking-maneuver\/milking-maneuver.pdf\" target=\"_blank\" rel=\"noopener\">Download template<\/a>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Medial elbow pain in a throwing athlete rarely shows up on inspection. The ligament that fails first sits deep, and the athlete usually describes vague soreness late in a game rather than one clear injury.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The milking maneuver loads that ligament in about ten seconds, with no equipment at all. Setup is where it goes wrong. Pronate the forearm instead of supinating it, and an elbow that is already failing can test negative.<\/p>\n\n\n\n<h2 id=\"h-what-the-milking-maneuver-actually-tests\" class=\"wp-block-heading\">What the milking maneuver actually tests<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">It tests the posterior band of the anterior bundle of the medial collateral ligament (MCL) at the elbow. At the elbow, that ligament is also called the ulnar collateral ligament, or UCL, and the two names describe the same structure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You flex the elbow past 90 degrees, pull the patient&rsquo;s thumb, and watch the medial joint line. Thumb traction plus valgus stress loads the band that resists the most force during throwing.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Structure tested:<\/strong> posterior band of the anterior bundle of the MCL<\/li>\n\n\n\n<li><strong>Best fit:<\/strong> throwing and overhead athletes with medial elbow pain<\/li>\n\n\n\n<li><strong>Position:<\/strong> seated or supine, shoulder externally rotated, forearm supinated<\/li>\n\n\n\n<li><strong>Type:<\/strong> passive ligament stress test, no equipment needed<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-why-the-posterior-band-takes-the-load\" class=\"wp-block-heading\">Why the posterior band takes the load<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The MCL has an anterior bundle and a posterior bundle. The anterior bundle splits again into an anterior and a posterior band, and that posterior band is the part this test isolates.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The ligament runs from the medial epicondyle of the humerus to the sublime tubercle of the ulna. Repeated valgus load stretches it, then frays it, and eventually tears it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Flexing past 90 degrees tightens the posterior band specifically, which is why elbow position matters more than how hard you pull. An <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5821063\/\" target=\"_blank\" rel=\"nofollow noopener\">elbow instability review<\/a> sets out the biomechanics behind that position.<\/p>\n\n\n\n<h2 id=\"h-how-to-perform-the-test-step-by-step\" class=\"wp-block-heading\">How to perform the test, step by step<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Position first, force second. Rushed setup is the reason a failing elbow tests clean, so run a short check before you touch the arm.<\/p>\n\n\n\n<h3 id=\"h-before-you-start\" class=\"wp-block-heading\">Before you start<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ask which movement reproduces the pain, and where in the throw it appears.<\/li>\n\n\n\n<li>Screen the uninvolved elbow first, so you have a baseline for laxity.<\/li>\n\n\n\n<li>Rule out locking, swelling, or bony tenderness that points somewhere else.<\/li>\n\n\n\n<li>Explain what you are about to do, and tell the patient they can stop you.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-the-six-steps\" class=\"wp-block-heading\">The six steps<\/h3>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Patient position:<\/strong> seat the patient or lay them supine, with the shoulder externally rotated. The forearm should be supinated (palm up).<\/li>\n\n\n\n<li><strong>Your stance:<\/strong> stand at the patient&rsquo;s side, facing the elbow. Stabilize the upper arm with one hand so the shoulder cannot rotate.<\/li>\n\n\n\n<li><strong>Elbow flexion:<\/strong> flex the elbow past 90 degrees, usually to 110 or 120, keeping the forearm supinated.<\/li>\n\n\n\n<li><strong>Valgus stress:<\/strong> grasp the thumb with your free hand and pull it laterally. Thumb traction plus valgus force is what creates the \u00ab\u00a0milking\u00a0\u00bb effect.<\/li>\n\n\n\n<li><strong>What to watch:<\/strong> palpate the medial joint line while you hold the stress. Ask about pain, feel for opening, and note any guarding.<\/li>\n\n\n\n<li><strong>Compare sides:<\/strong> hold for two to three seconds, release, then repeat on the other elbow.<\/li>\n<\/ol>\n\n\n\n<h2 id=\"h-reading-the-result-pain-laxity-or-apprehension\" class=\"wp-block-heading\">Reading the result: Pain, laxity, or apprehension<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A positive test is familiar medial elbow pain, palpable opening at the joint line, or apprehension during the stress. Any one of the three counts.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Medial pain:<\/strong> the most common positive finding. It should be repeatable across trials, and it should be the pain the patient came in with.<\/li>\n\n\n\n<li><strong>Laxity:<\/strong> visible or palpable opening at the medial joint line. This is the strongest of the three findings.<\/li>\n\n\n\n<li><strong>Apprehension:<\/strong> guarding, or a reluctance to let you continue. Patients often describe it as the elbow feeling unsafe.<\/li>\n\n\n\n<li><strong>Negative result:<\/strong> no pain, opening, or apprehension makes MCL insufficiency less likely, without ruling it out.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A positive result is a reason to image, not a diagnosis. MRI, stress ultrasound, or a stress radiograph confirms what your hand felt, and specialist input follows from there.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Medial elbow pain has other sources. Ulnar neuritis and flexor-pronator strain sit in the same square inch of tissue. Screens such as <a href=\"https:\/\/pabau.com\/blog\/hand-nerve-tests\/\">hand nerve tests<\/a> and the <a href=\"https:\/\/pabau.com\/blog\/pinch-grip-test\/\">pinch grip test<\/a> help you separate nerve from ligament before you commit to a diagnosis.<\/p>\n\n\n\n<h2 id=\"h-what-the-evidence-says-about-accuracy\" class=\"wp-block-heading\">What the evidence says about accuracy<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The honest answer is that accuracy figures for the classic milking maneuver are thin. Reviews find no consistent consensus across high-quality studies, so treat any single number carefully.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Measure<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Reported figure<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">What it means for you<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Sensitivity<\/td>\n<td style=\"padding:12px 16px;color:#374151\">About 77%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Catches most injured elbows, but still misses some<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Overall accuracy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">About 79%<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right roughly four times in five, in a single study<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Positive likelihood ratio<\/td>\n<td style=\"padding:12px 16px;color:#374151\">5.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A positive test raises the odds of injury meaningfully<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Specificity, PPV, NPV<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Not well established<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No pooled figures you can quote with confidence<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Those figures come from one 2026 study, not from a body of pooled evidence. <a href=\"https:\/\/wikism.org\/Milking_Maneuver_(Elbow)\" target=\"_blank\" rel=\"nofollow noopener\">Reference summaries<\/a> of the test make the same point about the literature. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So the practical reading stays simple. Use the test to decide whether imaging is worth ordering, and pair it with at least one other valgus test.<\/p>\n\n\n\n<h2 id=\"h-milking-maneuver-vs-moving-valgus-stress-test\" class=\"wp-block-heading\">Milking maneuver vs. moving valgus stress test<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Both tests load the same ligament, but from different angles. One holds the elbow still, the other moves it. Knowing which does what helps you pick the right one for the presentation in front of you.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:14px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:12px 14px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Feature<\/th>\n<th style=\"background:#121D36;color:#fff;padding:12px 14px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Milking maneuver<\/th>\n<th style=\"background:#121D36;color:#fff;padding:12px 14px;text-align:left;font-weight:600;font-size:13px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Moving valgus stress test<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:10px 14px;font-weight:600;color:#121D36\">Elbow position<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Flexed past 90\u00b0, held still<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Flexed fully, then extended through the arc<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:10px 14px;font-weight:600;color:#121D36\">Forearm<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Supinated, palm up<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Held by the examiner during the sweep<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:10px 14px;font-weight:600;color:#121D36\">How stress is applied<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Thumb traction with static valgus force<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Constant valgus force while the elbow extends<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:10px 14px;font-weight:600;color:#121D36\">Part of the MCL stressed<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Posterior band of the anterior bundle<\/td>\n<td style=\"padding:10px 14px;color:#374151\">The ligament across a range of flexion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:10px 14px;font-weight:600;color:#121D36\">Evidence on accuracy<\/td>\n<td style=\"padding:10px 14px;color:#374151\">About 77% sensitivity in one study, specificity unclear<\/td>\n<td style=\"padding:10px 14px;color:#374151\">Reported as high, from small original samples<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Running both takes under a minute, and clinicians commonly do exactly that. Record which tests you ran and what each one showed. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A later reader cannot tell a negative test from an elbow nobody tested, and a <a href=\"https:\/\/pabau.com\/templates\/clinical-progress-notes\/\">clinical progress note<\/a> keeps that detail consistent between visits.<\/p>\n\n\n\n<h2 id=\"h-mistakes-that-flip-the-result\" class=\"wp-block-heading\">Mistakes that flip the result<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Four setup errors account for most wrong answers. All four are quick to correct.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Pronating the forearm.<\/strong> Palm down slackens the band you are trying to load, so supinate instead.<\/li>\n\n\n\n<li><strong>Stopping at 90 degrees.<\/strong> The posterior band tightens past 90, so keep flexing.<\/li>\n\n\n\n<li><strong>Letting the shoulder rotate.<\/strong> An unstabilized shoulder absorbs the valgus force. Hold the upper arm firmly.<\/li>\n\n\n\n<li><strong>Skipping the other elbow.<\/strong> Throwers are often loose on both sides, so laxity means little without a baseline.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">One more habit is worth building. Ask whether the pain you produced is the pain that brought them in. Unfamiliar pain is not a positive test, and writing \u00ab\u00a0pain reproduced\u00a0\u00bb without that check is how a soft finding turns into a firm diagnosis.<\/p>\n\n\n\n<h2 id=\"h-what-to-record-after-the-test\" class=\"wp-block-heading\">What to record after the test<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Record the position you used, the result, and what happens next. Those three lines are what a colleague, an insurer, or a lawyer will actually read. <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">Digital intake forms<\/a> make that easier, because the fields are already on the screen.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Patient and clinician:<\/strong> name, date of birth, date of examination, who performed the test<\/li>\n\n\n\n<li><strong>Side tested:<\/strong> left, right, or both<\/li>\n\n\n\n<li><strong>Position used:<\/strong> seated or supine, shoulder position, forearm position, flexion angle<\/li>\n\n\n\n<li><strong>Findings:<\/strong> pain and its location, palpable opening, apprehension, and whether the pain was familiar<\/li>\n\n\n\n<li><strong>Result:<\/strong> positive, negative, or inconclusive<\/li>\n\n\n\n<li><strong>Other tests run:<\/strong> moving valgus stress test, varus stress test, nerve screens<\/li>\n\n\n\n<li><strong>Plan:<\/strong> imaging ordered, referral made, or conservative management started<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/downloadable_template_article\/milking-maneuver\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s digital forms let you build the milking maneuver fields once, so every clinician records the test the same way.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">A finished entry can be two sentences. <em>Right elbow, seated, shoulder externally rotated, forearm supinated, flexed to 115 degrees. Familiar medial joint line pain on thumb traction, no palpable opening, apprehension present, MRI requested, review in 10 days.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That level of detail is also what makes an entry defensible months later. Habits that keep notes <a href=\"https:\/\/pabau.com\/blog\/safer-clinical-notes\/\">safer to rely on<\/a> apply here too, especially recording what you did not find.<\/p>\n\n\n\n<h2 id=\"h-where-the-test-fits-with-overhead-athletes\" class=\"wp-block-heading\">Where the test fits with overhead athletes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Baseball pitchers, cricket bowlers, volleyball hitters, and swimmers load the medial elbow thousands of times a season. Catching laxity early can be the difference between a rest period and a reconstruction.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A throwing athlete&rsquo;s exam rarely stops at one test. Neck and shoulder screens such as the <a href=\"https:\/\/pabau.com\/blog\/arm-squeeze-test\/\">arm squeeze test<\/a> help separate referred pain from a local ligament problem.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sideline use is realistic, since the test needs no table and no equipment. Practices running <a href=\"https:\/\/pabau.com\/industry\/sports-medicine-software\/\">sports medicine software<\/a> tend to log elbow findings visit by visit. A slow drift toward laxity then shows up before it becomes a rupture.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/downloadable_template_article\/milking-maneuver\/comprehensive-emr-patient-record-management.webp\" alt=\"Comprehensive EMR and patient record management\"\/><figcaption class=\"wp-element-caption\"><em>One record holds every elbow assessment from the season, so you can see whether laxity is trending across an athlete&rsquo;s year.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Follow-through is its own problem. Once the pain settles, <a href=\"https:\/\/pabau.com\/blog\/patient-compliance\/\">patient compliance<\/a> with imaging and review appointments tends to slip, and a positive test quietly goes nowhere.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-keeps-elbow-assessments-in-the-patient-record\" class=\"wp-block-heading\">How Pabau keeps elbow assessments in the patient record<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most practices still run this test on paper. The sheet goes into a folder, or it gets scanned days later, and the finding never reaches the note the next clinician opens.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau, our all-in-one system for practices, handles it differently. You build the milking maneuver fields once as a digital form. The clinician completes it during the visit, and the assessment attaches to the <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">patient record<\/a> beside imaging, photos, and the treatment plan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sports medicine and <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy practices<\/a> get two things from that. Anyone opening the chart can see which tests were run and what each showed. Automated reminders chase the imaging referral and the review appointment, so nothing depends on someone remembering.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/downloadable_template_article\/milking-maneuver\/automated-communication-in-pabau.webp\" alt=\"Automated communication in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&rsquo;s automated messages chase the MRI referral and the review visit, so a positive test does not stall after the patient leaves.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Keep every elbow assessment in the patient record                <\/h3>\n\n                <p class=\"description\">\n                    Pabau turns the milking maneuver assessment form into a digital form your team completes during the visit. The result, the imaging referral, and the follow-up all sit in one patient record.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau clinic management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The milking maneuver is quick, free, and easy to get wrong. Supinate the forearm, flex past 90 degrees, stabilize the shoulder, and compare sides. Those four habits matter far more than how hard you pull.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Treat a positive result as a reason to image rather than a diagnosis. The evidence base is thin, so the test earns its place inside a cluster. Your note also has to be clear enough for the next clinician to trust it.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Download the assessment form above to standardize how your team records it. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau keeps elbow assessments, imaging referrals, and follow-ups in one patient record.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Ruling out the neck before you blame the arm?<\/strong> <a href=\u0001https:\/\/pabau.com\/blog\/smooth-pursuit-neck-torsion-test\/\u0001>Smooth pursuit neck torsion test<\/a> shows how to separate cervical involvement from a local injury.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need to measure hand function objectively?<\/strong> <a href=\u0001https:\/\/pabau.com\/blog\/dexterity-test\/\u0001>Dexterity test<\/a> covers the scored options and what each one is good for.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Building a full assessment record from scratch?<\/strong> <a href=\u0001https:\/\/pabau.com\/templates\/comprehensive-assessment\/\u0001>Comprehensive assessment template<\/a> gives you a structure that covers history, examination, and plan.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Treating upper limb pain that is not traumatic?<\/strong> <a href=\u0001https:\/\/pabau.com\/blog\/hand-exercises-for-rheumatoid-arthritis\/\u0001>Hand exercises for rheumatoid arthritis<\/a> sets out a program you can hand to patients.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786603349446\"><h3 class=\"schema-faq-question\">Does the milking maneuver hurt?<\/h3> <p class=\"schema-faq-answer\">It should reproduce the patient&rsquo;s familiar medial elbow pain if the ligament is injured. The force involved is light, and you hold the position for two or three seconds. Tell the patient they can stop you at any point.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603349447\"><h3 class=\"schema-faq-question\">Can the milking maneuver detect a partial UCL tear?<\/h3> <p class=\"schema-faq-answer\">It can suggest one, but it cannot grade it. The test tells you the medial side is painful, loose, or both. Imaging is what separates a partial tear from a complete rupture.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603349448\"><h3 class=\"schema-faq-question\">Which ICD-10 code covers an elbow UCL sprain?<\/h3> <p class=\"schema-faq-answer\">S53.44- covers ulnar collateral ligament sprain of the elbow. Add laterality with S53.441 for the right elbow or S53.442 for the left, then a seventh character for the encounter.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603349449\"><h3 class=\"schema-faq-question\">Is the test useful in patients who do not throw?<\/h3> <p class=\"schema-faq-answer\">Yes, for anyone with medial elbow pain after a fall, a dislocation, or heavy manual work. Valgus instability is less common outside throwing sports, so weigh the result against the mechanism of injury.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786603349450\"><h3 class=\"schema-faq-question\">Can you perform the milking maneuver on yourself?<\/h3> <p class=\"schema-faq-answer\">Not reliably. One hand has to stabilize the upper arm while the other pulls the thumb, and self-testing removes the relaxed, passive position the test depends on.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>Download your free milking maneuver assessment form A one-page clinical form with patient details, the test procedure, a positive or negative result selection, and space for additional notes. It closes with clinician name, license number, and signature fields, so the sheet is ready for the chart. Download template Medial elbow pain in a throwing athlete [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":177212,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"89","_yoast_wpseo_content_score":"90","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1125,1126,1127,4138],"tags":[3867,4032,1382],"class_list":["post-177213","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-musculoskeletal-pain-management","category-physical-therapy","category-sports-medicine","category-templates","tag-orthopedic-assessment","tag-sports-medicine-assessment","tag-template"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Milking maneuver: How to perform, interpret, and document it<\/title>\n<meta name=\"description\" content=\"The milking maneuver checks the elbow&#039;s medial collateral ligament in ten seconds. Learn the setup, reading it, and what to record.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/fr\/templates\/milking-maneuver\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Milking maneuver: How to perform, interpret, and document it\" \/>\n<meta property=\"og:description\" content=\"The milking maneuver checks the elbow&#039;s medial collateral ligament in ten seconds. Learn the setup, reading it, and what to record.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/fr\/templates\/milking-maneuver\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-13T12:01:17+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-13T13:29:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/milking-maneuver.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Monika Lazarevska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Monika Lazarevska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/templates\\\/milking-maneuver\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/templates\\\/milking-maneuver\\\/\"},\"author\":{\"name\":\"Monika Lazarevska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#\\\/schema\\\/person\\\/5763062f66fccbf75a390f99ee0b985a\"},\"headline\":\"Milking maneuver: How to perform, interpret, and document it\",\"datePublished\":\"2026-08-13T12:01:17+00:00\",\"dateModified\":\"2026-08-13T13:29:56+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/templates\\\/milking-maneuver\\\/\"},\"wordCount\":1984,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/templates\\\/milking-maneuver\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/milking-maneuver.webp\",\"keywords\":[\"Orthopedic Assessment\",\"Sports medicine assessment\",\"template\"],\"articleSection\":[\"Musculoskeletal &amp; Pain Management\",\"Physical Therapy\",\"Sports Medicine\",\"Templates\"],\"inLanguage\":\"fr-FR\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/templates\\\/milking-maneuver\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/fr\\\/templates\\\/milking-maneuver\\\/\",\"name\":\"Milking maneuver: How to perform, interpret, and document it\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/templates\\\/milking-maneuver\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/fr\\\/templates\\\/milking-maneuver\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/milking-maneuver.webp\",\"datePublished\":\"2026-08-13T12:01:17+00:00\",\"dateModified\":\"2026-08-13T13:29:56+00:00\",\"description\":\"The milking maneuver checks the elbow's medial collateral ligament in ten seconds. 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