1/5/2014 Ortolani test - Wikipedia, the free encyclopedia

http://en.wikipedia.org/wiki/Ortolani_test 1/2

Hip­joint, front view.

Right hip­joint from the front.

Ortolani testFrom Wikipedia, the free encyclopedia

The Ortolani test or Ortolani maneuver is part of the physicalexamination for developmental dysplasia of the hip, along with theBarlow maneuver.[1]

It relocates the dislocation of the hip joint that has just been elicitedby the Barlow maneuver.

It is performed by an examiner first flexing the hips and knees of asupine infant to 90 degrees, then with the examiner's index fingersplacing anterior pressure on the greater trochanters, gently andsmoothly abducting the infant's legs using the examiner's thumbs.

A positive sign is a distinctive 'clunk' which can be heard and feltas the femoral head relocates anteriorly into the acetabulum:[2]

Specifically, this tests for posterior dislocation of the hip.

This is part of the standard infant exam performed preferably inearly infancy; it usually becomes negative after 2 months of age.

It is performed with the Barlow maneuver and inspection of thehip joint and legs.

It is named for Marino Ortolani, who developed it in 1937.[3]

References

1. ^ US Preventive Services Task Force (March 2006). "Screeningfor developmental dysplasia of the hip: recommendationstatement" (http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=16510673). Pediatrics 117 (3): 898–902.doi:10.1542/peds.2005­1995(http://dx.doi.org/10.1542%2Fpeds.2005­1995). PMID 16510673(//www.ncbi.nlm.nih.gov/pubmed/16510673).

2. ^ Storer SK, Skaggs DL (October 2006). "Developmental dysplasia of the hip"(http://www.aafp.org/afp/20061015/1310.html). American Family Physician 74 (8): 1310–6. PMID 17087424(//www.ncbi.nlm.nih.gov/pubmed/17087424).

3. ^ Dwyer NS (June 1987). "Congenital dislocation of the hip: to screen or not to screen"(//www.ncbi.nlm.nih.gov/pmc/articles/PMC1778433). Arch. Dis. Child. 62 (6): 635–7. PMC 1778433(//www.ncbi.nlm.nih.gov/pmc/articles/PMC1778433). PMID 3619484(//www.ncbi.nlm.nih.gov/pubmed/3619484).

Template:Congenital dislocation of the hip: to screen or not to screen. N StJ P DWYER

Retrieved from "http://en.wikipedia.org/w/index.php?title=Ortolani_test&oldid=552053933"Categories: Congenital disorders of musculoskeletal system Pediatrics Physical examinationMedical sign stubs

1/5/2014 Ortolani test - Wikipedia, the free encyclopedia

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