Ortolani test

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Hip-joint, front view.
Right hip-joint from the front.

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

It relocates the dislocation of the hip joint that has just been elicited by the Barlow maneuver.[citation needed]

It is performed by an examiner first flexing the hips and knees of a supine infant to 90 degrees, 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. A positive sign is a distinctive 'clunk' which can be heard and felt as the femoral head relocates anteriorly into the acetabulum:[2]

Specifically, this tests for posterior dislocation of the hip.[citation needed]

This is part of the standard infant exam performed preferably in early infancy; it usually becomes negative after 2 months of age.[citation needed]

It is performed with the Barlow maneuver and inspection of the hip joint and legs.[citation needed]

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

A descendent of Marino Ortolani, Michael Ortolani has verified this, and is a direct descendent, through his father's family.

References[edit]

  1. ^ "Screening for developmental dysplasia of the hip: recommendation statement". Pediatrics. 117 (3): 898–902. March 2006. doi:10.1542/peds.2005-1995. PMID 16510673. 
  2. ^ Storer SK, Skaggs DL (October 2006). "Developmental dysplasia of the hip". American Family Physician. 74 (8): 1310–6. PMID 17087424. 
  3. ^ 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 1778433free to read. PMID 3619484.