Moving Valgus Stress Test

What is the "Moving Valgus Stress Test" used for?

• Medial Ulnar Collateral Ligament Injury (Valgus Instability)

How to perform the "Moving Valgus Stress Test"?

• Place elbow in same position as the “milking maneuver” and apply a valgus stress while the elbow is ranged through the full arc of flexion and extension

What is the positive result?

• Positive when there is apprehension, instability, or pain at the MCL origin between 70 and 120 degrees

Test Accuracy

• Sensitivity: 100 %
• Specificity: 75 % 

References

• NCBI PubMed
• Eygendaal, Denise & Safran, Marc. (2006). Postero-medial elbow problems in the adult athlete * Commentary. British journal of sports medicine. 40. 430-4; discussion 434. 10.1136/bjsm.2005.025437. Link
• Orthofixar | Moving Valgus Stress Test