Ortolani test

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Ortolani test

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The Ortolani test or Ortolani maneuver is a physical examination for developmental dysplasia of the hip. It is performed by gently abducting the infant's leg using the examiner's thumb while placing anterior pressure on the greater trochanter using the examiner's index and forefinger. A positive sign is a distinctive 'clunk' which can be heard and felt as the femoral head relocates anteriorly into the acetabulum. Specifically, this tests for posterior dislocation of the hip. This is part of the standard infant exam performed until 8–12 weeks of age. It is performed with the Barlow maneuver and inspection of the hip joint and legs.

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References

  • Am Fam Physician 2006;74:1310–6 [3]
  • Pediatrics Vol. 113 No. 5 May 2004, pp. 1451–1465 [4]

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .

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