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Ulnar Styloid Tenosynovitis Effusion Milking in Rheumatoid Arthritis Very common to have tenosynovitis at the ulnar styloid area in Rheumatoid arthritis. You can increase visibility of tenosynovitis and arthritis with effusions by ‘milking’ the area. Dr. Janet Pope @Janetbirdope #Milking #Ulnar #Styloid #Tenosynovitis #Rheumatoid #Arthritis #clinical #video #physicalexam