Ortolanis Test

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  • test for developmental dysplasia of hip
  • baby's thighs held with
    • thumbs medially
    • fingers resting on greater trochanters
  • hips flexed to 90º
  • gentle abduction of hips

Findings

Normal

  • smooth abduction to almost 90º

Developmental Dysplasia of Hip

  • movement usually impeded
  • if pressure applied to greater trochanter then soft 'clunk' as dislocation reduces and hip abducts fully
    • 'jerk of entry'
  • if irreducible then abduction may stop halfway with no jerk of entry
 

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