Ortolani Test
- Ortolani Test is used for Developmental dysplasia of the hip in newborn.
- must be carried out on a relaxed child, preferably after feeding.
- Flex the knees and encircle them with the hands so that the thumbs lie along the medial sides of the thighs and the fingers over the trochanters.
- flex the hips to a right angle and, starting from a position where the thumbs are touching, abduct the hips smoothly and gently.
- If a hip is dislocated, as full abduction is approached the femoral head will be felt slipping into the acetabulum. An audible click may accompany the displacement.
- Note that restriction of abduction may be pathological, and represent an irreducible dislocation.
- A positive Ortolani test is indicative of neonatal instability of the hip (NIH), and is usually an indication for splintage.
- Sensitivity: 66 %
- Specificity: 95 %
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