Barlow maneuver

The Barlow maneuver is a physical examination performed on infants to screen for developmental dysplasia of the hip. It is named for Dr. Thomas Geoffrey Barlow (September 25, 1915 May 25, 1975), an English Orthopedic Surgeon, who devised this test; it was clinically tested during 1957–1962 at Hope Hospital, Salford, Lancashire.[1]

The maneuver is easily performed by adducting the hip (bringing the thigh towards the midline) while applying light pressure on the knee, directing the force posteriorly.[2] If the hip is dislocatable - that is, if the hip can be popped out of socket with this maneuver - the test is considered positive. The Ortolani maneuver is then used, to confirm the positive finding (i.e., that the hip actually dislocated).

References

  1. Barlow TG (1962). "Early diagnosis and treatment of congenital dislocation of the hip". The Journal of Bone and Joint Surgery 44–B (2): 92–301.
  2. French LM, Dietz FR (July 1999). "Screening for developmental dysplasia of the hip". American Family Physician 60 (1): 177–84, 187–8. PMID 10414637.

See also

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