Might be just me, but Madonna looks like she might puck the head off Miley (resembling a particularly horny Cletus Spuckler here) if she grabs her one more time...
We could bang on about how Madonna's missing her auto tuner/oxygen mask, but - really - there's only two more words left to say: "Please stop."
Oh, go on then, one more word. We'll go with "Tragic."
>See Madonna suck the life force out of Miley @ MTV Unplugged session