Infant Examination

Examination of the newborn includes the Ortolani and Barlow method. Hip clicks and asymmetrical folds are discussed in the older age group.

Ortolani Method

The Ortolani method is an examination method that identifies a dislocated hip that can be reduced into the socket (acetabulum). Ortolani described the feeling of reduction as a “Hip Click” but the translation from Italian was interpreted a sound instead of a sensation of the hip moving over the edge of the socket when it re-located. After the age of six weeks, this sensation is rarely detectable and should not be confused with snapping that is common and can occur in stable hips when ligaments in and around the hip create clicking noises. When the Ortolani test is positive because the hip is dislocated, treatment is recommended to keep the hip in the socket until stability has been established

Barlow Method

The Barlow method is an examinaiton method that identifies a loose hip that can be pushed out of the socket with gentle pressure. Approximately 80% of “Barlow Positive” hips will resolve spontaneously in the first few weeks of life. Early treatment may be recommended when the hip is “dislocatable” but minor degrees of instability can be treated with multiple diapers followed by an Ultrasound Study at approximately six weeks of age.

A Chan, et.al. Acta Paediatr. 90:836, 2001; and NR Boree and Clarke JBJS 76B:525, 1994


The video clips you will find here have been abstracted from a 21 min video entitled ‘Examination of the newborn’, which was produced for the ‘Skills Center’ (Ferdighetssenteret) by the University of Oslo Photo and Video Service in 2003. This video, which is available on loan from the Skills Center for medical students at The University of Oslo, was the result of a term project by medical students Robert Bentehaugen and Anders Lippert. Filming was done by Christian Nissen and Bjorn Ohnstad, and editing was by Christian Nissen, Robert Bentehaugen, and Anders Lippert. The pediatrician/neonatologist, professor Thor Willy Ruud Hansen, has also written the text which accompanies the clips.
  • Social Media Links

  • Translate Link

    Para ver en Español Click Aquí

  • SubNav Menu

  • Hippo CTA

  • Child CTA

  • Adult CTA

  • Latest News

    Latest News

    view all

    Does your child need a follow-up x-ray?

    Aug 17

    Parents and doctors worry that hip dysplasia may not be “cured...

    Editorial Comment on Infant Carriers from CTP, Med...

    Jul 20

    The scientific literature specific to infant carriers is limited and d...

    IHDI receives praise

    Jul 06

    IHDI receives praise in orthopedic journal commentary   Clini...

  • Latest Stories

    Latest Stories

    view all

    Clara's story

    Jul 10

    Clara Mae is a healthy beautiful baby. Her birth was a piece of cake, ...

    Hayley

    Jul 09

    My daughter was 15 yrs 3 months old in Oct 2013 when we found out ...

    Jaye

    Jun 12

    I am 48 years old and had a Salter osteotomy at two years old. At 10 y...