How much pressure needs to be applied when palpating a joint for synovitis

How much pressure needs to be applied when palpating a joint for synovitis?

A good “rule of thumb” is to palpate with enough pressure to blanche your distal thumbnail (4 kg/cm 2 ). This standardizes the joint exam and ensures that adequate pressure is being applied to detect synovitis.

Obviously, with overtly inflamed joints, this degree of pressure may be excessive.

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