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Sunday, 7 May 2017

image based Q. 92 - Milky way

Q.  Which of these is not a described entity in orthopaedics?

a. Milking
b. Milk test
c. Milkman syndrome
d. Milk technique















































































































Answer -
d

Milking is described as a process of disengaging proximal end of fracture of supracondylar humerus when it  pierces brachial is muscle anteriorly and thus is not easily gets reduced.

The slow milking manoeuvre helps the buttonholed proximal end get out and helps reduce fracture before fixation.

We also do 'milking' of synovial fluid on either side of knee when examining for knee effusion in ' bulge test'.

Milkman syndrome is multiple pseudo fractures following abnormal bone quality due to various reasons. The pseudo fractures are also called Looser zones or Umbauzonen.

Milk test ( described by Field) is described for assessing chronic medial elbow instability. The patient tries to grasp the opposite thumb by ipsilateral hand under opposite elbow ( pic below) leading to provocative pain over  medial aspect of elbow.


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