WEBVTT 00:00:00.019 --> 00:00:03.019 (English captions by Trisha Paul from the University of Michigan) 00:00:03.019 --> 00:00:06.067 With the patient supine, the leg can be fully extended to assess better for 00:00:06.067 --> 00:00:10.139 joint effusion. 00:00:10.139 --> 00:00:14.189 Compress the suprapatellar pouch, pushing the contents distally, and assess for 00:00:14.189 --> 00:00:19.529 increased fluid. 00:00:19.529 --> 00:00:22.949 Patellar ballottement can also be performed by compressing the patella and releasing 00:00:22.949 --> 00:00:27.749 quickly. Observe for rapid rebound, which also indicates increased fluid pressure. 00:00:27.749 --> 00:00:31.879 If a quicker tap is felt, a larger fusion is present, also called the ballottable 00:00:31.879 --> 99:59:59.999 patella.