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Knee Bulge Sign
- Indication
- Evaluation for small knee joint effusion
- Technique
- Examiner uses ball of hand over medial knee
- Milk fluid distally from suprapatellar pouch
- Repeat several times
- Press behind patella lateral margin
- Swelling reappears in knee joint effusion
- Examiner uses ball of hand over medial knee
- Interpretation: Positive test implies effusion
- Knee Effusion may be detected at 10-15 cc of fluid