Place it near the end of an injury joke, after the setup has named the sore joint, then follow it with a bone crack for a second beat before the caption appears.
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Ortopedia 018 is a short numbered sound effect, lasting just over three seconds, presented as a single entry in a numbered series. It feels abrupt and playful, with a dry, teasing edge that suits a quick reaction rather than a long scene. The numbered title suggests it belongs to a larger set, so it works best as a brief punctuation mark.