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Ortolani TestAka: Ortolani Maneuver, Hip Clunk
- See Also
- Indication
- Developmental Dysplasia of the hip evaluation
- Evaluation for Congenital Hip Dislocation
- Developmental Dysplasia of the hip evaluation
- Pathophysiology
- Femoral head displaced superiorly, posteriorly
- Mechanism
- Attempt to relocate hip into acetabulum
- Examine each hip individually
- Preparation
- Infant supine with diaper off
- Hips flexed to 90 degrees
- Technique
- Infant's legs placed in frogleg position
- Place index and middle finger over greater trochanter
- Place thumb medially at inner thigh inguinal crease
- Attempt relocation of femoral head into acetabulum
- Gently abduct the hip while applying upward force
- Push upward with greater trochanter (away form bed)
- Push toward bed and laterally with thumb at knee
- Gently abduct the hip while applying upward force
- Infant's legs placed in frogleg position
- Findings: Signs of dislocation
- Hip clunk felt on exam
- Occurs when femoral head relocates in acetabulum
- Suggests Congenital Hip Dislocation
- Distinguish from a hip click
- Benign finding
- Hip clunk felt on exam
- References
Ortolani's test response (C0231722) | |
|---|---|
| Concepts | Finding (T033) |
| English | Ortolani's click, Ortolani's jerk, Ortolani's sign, Ortolani's test, Ortolani's test response |
| Spanish | chasquido de Ortolani, clic de Ortolani, respuesta a la prueba de Ortolani, signo de Ortolani, tiron de Ortolani |
| Parent Concepts | Named sign of hip (C0576075), Feature of hip region (C1286206) |
| Sources | MTH, SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System) |
