Stephen J. Schueler, M.D.

Overview Incidence Symptoms Evaluation Treatment specialist Home Care pain in children warning signs Complications Underlying Cause Anatomy

Congenital Hip Dislocation Evaluation

The evaluation of congenital hip dislocation begins with a medical history and physical examination.

Examination of the hips is a normal part of well-baby care. The diagnosis of congenital hip dislocation may be suspected on physical exam.

Physical findings may include:

  • Ortolani test:
    • A physical maneuver where the doctor attempts to re-locate a hip that is dislocated. A clunk is felt as the hip slides back into place.
  • Galeazzi's sign:
    • Positive, when the legs are found to be of different lengths.
  • Barlow's test:
    • Used to stress the hip joints to see if they easily dislocate.

This diagnosis of congenital hip dislocation is usually confirmed through testing.

Tests that may be used to evaluate congenital hip dislocation include:
  • X-rays of the hip:
    • Of limited use in infants because the bone are not fully formed and do not show up on x-ray
  • Dynamic ultrasound may be a better test to see the hip structures.

Continue to Congenital Hip Dislocation Treatment

Last Updated: Dec 8, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
Copyright DSHI Systems, Inc. Powered by: FreeMD - Your Virtual Doctor

PubMed Congenital Hip Dislocation References
  1. Harcke HT. Imaging methods used for children with hip dysplasia. Clin Orthop Relat Res. 2005 May;(434):71-7. [15864034]
  2. Trousdale RT. Acetabular osteotomy: indications and results. Clin Orthop Relat Res. 2004 Dec;(429):182-7. [15577485]
  3. Woolacott NF, Puhan MA, Steurer J, Kleijnen J. Ultrasonography in screening for developmental dysplasia of the hip in newborns: systematic review. BMJ. 2005 Jun 18;330(7505):1413. [15930025]
FreeMD is provided for information purposes only and should not be used as a substitute for evaluation and treatment by a physician. Please review our terms of use.