Lesson 2: LE, Hip, Pelvis, Knee, Ankle, Foot

Question 1

Congenital Hip Dislocation/Dysplasia?

Answer 1

Abnml of shape/stability of femoral head and acetabulum.

Question 2

When is exam of hips performed?

Answer 2

During newborn assessment and at every well visit check through 9 months of age (or the child is walking independently).

Question 3

Risk factors for Congenital Hip Dislocation/Dysplasia?

Answer 3

BREECH presentation at delivery.

Question 4

Barlow maneuver?

Answer 4

Adduction with downward pressure to assess dislocatability - if present, typically hear a “click” or “clunk”.

Question 5

Ortolani maneuver?

Answer 5

Abduction and elevation to feel for reducibility - if present, typically also hear a “click” or “clunk”.