Patient is asked to further flex the knee. Examiner places his hand over the back of the calf muscles. Patient is asked to flex both the leg simultaneously at knee joint to 90 0 flexion. Examiner stands on side of the examination bed. Patient is advised to lie on examination bed in prone position with face facing the examination table. The test confirms the diagnosis of congenital hip joint dysplasia. The maneuver places the head of femur into hip joint socket with a click sound. The examiner palpates the greater trochanter with index finger and also abducts the leg at hip joint using thumb. The examiner repositions the hand to hold the leg. The position of both knee and hip joint is maintained at 90 0 during entire period of test. The procedure is known as relocating a dislocated hip joint. Following Barlow Maneuver Ortolani Maneuver is performed to reposition the head of femur in hip joint socket. Ortolani Maneuver– Ortolani Maneuver was described by Marino Ortolani. This maneuver dislocates both or one hip joint. Examiner may feel or hear click while hip joint is dislocated. Examiner while continuing his hands on knee joint adduct the leg at hip joint while leg is pushed posteriorly toward the examining bed. Barlow maneuver– Examiner supports both leg with hand in flex position at knee joint.
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