 Suprapatellar : the distal half of the patella is pushed in a posterior direction, so as to make the proximal part tilt forwards, which makes it easier to reach the lesion. The deep friction massage is the normal execution with the ring finger, reinforced by the middle finger, using the thumb more distally as a fulcrum. The pressure is applied towards the toes.
Since the lesion lies tenoperiosteally, there is contact with the contractile structure and the bone at the same time.
Infrapatellar : now, the upper half of the patella is pushed posteriorly. The deep friction massage is the same as above.
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