Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Barlow’s test

Significance

The test is used for early detection of congenital dislocation of the hip in babies. During the test the hip is first subluxated and then replaced.

Positioning.

The baby lies on its back, hips flexed to 900 and the knees completely flexed. The examiner grasps the leg in such a way that the thumb presses on the inner side of the thigh and the ring and middle fingers are on the outer
thigh, the tips touching the trochanter.

Procedure.

If the capsule is elongated, the examiner can press the femoral head outwards
and backwards over the acetabular rim. This is indicated by a click. Anterior pressure with the fingertips behind the trochanter can then reduce the hip.

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