Ballottement

The clinician inserts two fingers into the vagina and gives a sharp upward tap against the lower segment of the uterus. If the fetus is present and not yet engaged in the pelvis, it will float upward and then fall back, tapping against the clinician’s fingers.

Use one hand to firmly stroke downward from the mid-thigh toward the kneecap. This "milks" fluid out of the suprapatellar pouch and into the space behind the patella.

Suspected knee trauma, arthritis flare-up, or unexplained swelling. Technique:

The patella feels like it is "floating." You will feel it move through fluid, click against the femur, and then rebound or "ballotte" back toward your finger.

The clinician inserts two fingers into the vagina and gives a sharp upward tap against the lower segment of the uterus. If the fetus is present and not yet engaged in the pelvis, it will float upward and then fall back, tapping against the clinician’s fingers.

Use one hand to firmly stroke downward from the mid-thigh toward the kneecap. This "milks" fluid out of the suprapatellar pouch and into the space behind the patella.

Suspected knee trauma, arthritis flare-up, or unexplained swelling. Technique:

The patella feels like it is "floating." You will feel it move through fluid, click against the femur, and then rebound or "ballotte" back toward your finger.

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