Ortolani test

Ortolani test
Hip-joint, front view.
Synonyms	Ortolani maneuver
Purpose	exam developmental dysplasia of the hip

The Ortolani test is part of the physical examination for developmental dysplasia of the hip, along with the Barlow maneuver.^[1] Specifically, the Ortolani test is positive when a posterior dislocation of the hip is reducible with this maneuver.^{[citation needed]} This is part of the standard infant exam performed preferably in early infancy.^{[citation needed]}The Ortolani test is named after Marino Ortolani, who developed it in 1937.^[2]

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Transcription

Procedure

The Ortolani test is performed with the Barlow maneuver and inspection of the hip joint and legs. It relocates the dislocation of the hip joint that has just been elicited by the Barlow maneuver.^[3]

The Ortolani test is performed by an examiner first flexing the hips and knees of a supine infant to 90°, then with the examiner's index fingers placing anterior pressure on the greater trochanters, gently and smoothly abducting the infant's legs using the examiner's thumbs.^[3]

Interpretation

A positive sign is a distinctive 'clunk' which can be heard and felt as the femoral head relocates anteriorly into the acetabulum:^[4]

References

^ US Preventive Services Task Force (March 2006). "Screening for developmental dysplasia of the hip: recommendation statement". Pediatrics. 117 (3): 898–902. doi:10.1542/peds.2005-1995. PMID 16510673.
^ Dwyer NS (June 1987). "Congenital dislocation of the hip: to screen or not to screen". Archives of Disease in Childhood. 62 (6): 635–7. doi:10.1136/adc.62.6.635. PMC 1778433. PMID 3619484.
^ ^a ^b Parrales, Hugo (2017). "Maniobras de Ortolani y Barlow". CerebroMedico.
^ Storer SK, Skaggs DL (October 2006). "Developmental dysplasia of the hip". American Family Physician. 74 (8): 1310–6. PMID 17087424.

External links

Media related to Ortolani test at Wikimedia Commons

Musculoskeletal examination

Leg

Hip examination	Galeazzi test Allis test Barlow maneuver Ober's test Ortolani test Patrick's test Thomas test Trendelenburg's sign
Knee examination	Ballottement Clarke's test Drawer test Lachman test Patellar tap Pivot-shift test Valgus stress test meniscus Apley grind test McMurray test ligament and meniscus Unhappy triad
Foot and ankle	Hubscher's maneuver Mulder's sign Thompson test
General	Straight leg raise Lasègue's sign Gait abnormality Trendelenburg gait Unequal leg length Gower's sign

Arm

Shoulder examination	Apprehension test Jobe's test Neer Impingement Test Yergason's test rotator cuff Hawkins–Kennedy test Watson's test
Elbow examination	Cozen's test Elbow extension test
Hand and wrist	Durkan's test Finkelstein's test Froment's sign Lunotriquetral shear test Phalen maneuver Tinel sign Watson's test
General	Bethlem sign

Spine

Other

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This page was last edited on 7 November 2023, at 03:15

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