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The Bulge Sign in Knee Effusion Highly specific sign for knee joint effusion. - Stroke the knee from the medial aspect of the joint (“milking”) to reduce fluid. - Apply pressure on the lateral side and observe for a “bulge” on medial side. Dr Moodley via @TBHMedicine #Bulge #Sign #Knee #Effusion #clinical #video #physicalexam #msk #orthopedics #sports #rheumatology