1 00:00:00,019 --> 00:00:03,019 (English captions by Trisha Paul from the University of Michigan) 2 00:00:03,019 --> 00:00:06,067 With the patient supine, the leg can be fully extended to assess better for 3 00:00:06,067 --> 00:00:10,139 joint effusion. 4 00:00:10,139 --> 00:00:14,189 Compress the suprapatellar pouch, pushing the contents distally, and assess for 5 00:00:14,189 --> 00:00:19,529 increased fluid. 6 00:00:19,529 --> 00:00:22,949 Patellar ballottement can also be performed by compressing the patella and releasing 7 00:00:22,949 --> 00:00:27,749 quickly. Observe for rapid rebound, which also indicates increased fluid pressure. 8 00:00:27,749 --> 00:00:31,879 If a quicker tap is felt, a larger fusion is present, also called the ballottable 9 00:00:31,879 --> 99:59:59,999 patella.