OrthoNet

DDH-exam
Developmental Dysplasia of the Hip - Physical Findings

Newborn:
Asymmetric abduction - key finding
Ortolani - reduction maneuver of a dislocated hip
Barlow - provocative dislocation of a reduced hip
- both these signs may disappear within a month?
- 60% of Barlow positive hips are stable within a week anyways
- 88% of Barlow positive hips are stable within two months

Later:
Asymmetric abduction
Galleazi sign
Klisic’s sign - line from GT to ASIS should continue medially and pass towards the umbilicus; in the dislocated hip, the GT is high and the line passes under the umbilicus
Nelaton’s line - line from ischial tuberosity to ASIS; the GT should lie caudal to this line; in the dislocated hip, the GT is high and lies cephalad to this line

Much Later:
Painless limp
Hyperlordosis
Trendelenberg gait
Toe walking