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]
| Barlow maneuver | |
|---|---|
| Purpose | screen for developmental dysplasia of hip |
Procedure
The maneuver is easily performed by adducting the hip (bringing the thigh towards the midline) while applying pressure on the knee, directing the force posteriorly.[2]
Interpretation
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).
See also
References
- 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.
- French LM, Dietz FR (July 1999). "Screening for developmental dysplasia of the hip". American Family Physician. 60 (1): 177–84, 187–8. PMID 10414637.
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