May 6, 2026 · The American journal of sports medicine · DOI: 10.1177/03635465261439107

Clinical Utility of the Moving Valgus Stress Test and Milking Maneuver for Medial Ulnar Collateral Ligament Injuries of the Elbow

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The authors aimed to assess the clinical utility of various special tests for detecting medial ulnar collateral ligament (MUCL) injuries in athletes. They found that the moving valgus stress test had the highest sensitivity and accuracy for ruling out MUCL injuries, while the milking maneuver was more effective for confirming such injuries. Overall, no combination of tests improved diagnostic utility beyond the individual assessments.

Aaron D Sciascia, Eric N Bowman, Christopher Camp, Peter Chalmers, Matthew V Smith, Brian R Wolf, Timothy Griffith, Brandon Erickson, Michael T Freehill, Marc Safran, Austin Hardaway, Frederick M Azar, Tyler Brolin, David Spence, Charles L Cox, Lance E LeClere, Grant Jones

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