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Barlow's Test
Aka: Barlow's Test, Barlow Test, Barlow Maneuver
- See Also
- Galeazzi's Sign
- Ortolani Test
- Indication
- Developmental Dysplasia of the Hip evaluation
- Mechanism
- Attempt to sublux unstable hip
- Perform with caution
- Examine each hip individually
- Preparation
- Infant lying supine with diaper off
- Hips flexed to 90 degrees
- Technique
- Stabilize Pelvis
- Place index and middle finger over greater trochanter
- Place thumb medially at inner thigh inguinal crease
- Gently adduct the hip while applying downward force
- Findings
- Positive if Hip Clunk felt on exam
- Represents dislocation of hip out of acetabulum
- Positive if reduced Hip Range of Motion in abduction
- Abduction less than 60 degrees OR
- Abduction more than 20 degrees difference between sides
- References
- Barlow (1963) Proc R Soc Med 56:804-6 [PubMed]