Suprapatellar plicae may also impinge on the medial femoral condyle during flexion limiting patellar mobility and causing chondral damage. With the initial hand still in place sweep the lateral gutter from distal to proximal and whilst doing this look closely at the medial gutter if you see a bulge this indicates a small joint effusion the patella tap test as above empty the suprapatellar pouch and with the other hand press firmly down an the patient s patella. The suprapatellar pouch is the initial location of the arthroscope.
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