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Ortolani Test
Aka: Ortolani Test, Ortolani Maneuver, Hip Clunk
- See Also
- Galeazzi's Sign
- Barlow's Test
- Indication
- Developmental Dysplasia of the hip evaluation
- Evaluation for Congenital Hip Dislocation
- 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
- 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
- References
- Ortolani (1976) Clin Orthop Relat Res 119:6-10
