NEONATAL HIP SIGNS

Question 1

used for relocating a dislocatable hip

knees bent, hip flexed to 90 degree abduction

clunk sound is relocation of the femoral head over the posterior rim of the acetabulum

palpable feel of relocation and no audible click necessary

Answer 1

ortalani sign

Question 2

used for dislocating a dislocatable hip

infant on their back

hips and knees flexed

thumb pressure applied in the anterior to posterior direction over lesser trochanter

dislocate femoral head posteriorly

Answer 2

barlows sign

Question 3

older child>6 mon

unilateral test

child placed on back

flex leg against the thigh

knee affected side appears lower

Answer 3

galeazzi test

Question 4

child of weight bearing age

child stands on one leg

normal hip abductors hold pelvis up or level

CDH side is seen as opposite side of pelvis dropping down

unilateral test of the hip

Answer 4

trendelenberg test

Question 5

localization of femoral head is palpable in who?

Answer 5

children under the femoral artery pulse

Question 6

what is essential in the diagnosis of CDH?

Answer 6

radiographs, femoral head not visible radiographically until 4-6 months of age

Question 7

what are the acetabular abnormalities?

Answer 7

shallowness of acetabulum

elongation of acetabular roof

flattening of the acetabulum

anterior displacement of the acetabulum