special test for the hip pathology in pediatric:

Special test for the hip pathology in pediatric:

  • These tests are used by the doctor to check the hip abnormality in the infant.
  • These tests are orthopedic test which is performed in newborn babies.
  • These tests help to doctor detect the problems of hip like CDH &DDH.
  • These all problems are genital problems, which may be amenable to conservative treatment if caught early.

Name of special test of hip pathology:

  • Abduction test
  • Galeazzi sign
  • Telescoping sign

Purpose of this three-test :

  • These tests are used to check the hip abnormality in newborn babies & detect many genital problems like as CDH &DDH.

Abduction test :-

 Abduction test
Abduction test
  • This test is also known as Hart’s sign.
  • If CDH is not diagnosed early or there is DDH, parents often note that when they change the child’s diapers, one leg does not abduct as far as the other one.
  • This is basic for this test.

Technique :

  • In the starting position child lies supine with the hips &knees flexed to 90′.
  • The examiner then passively abducts both legs, noting any asymmetry or limitation of movements.
  • In addition, if one hip is dislocated, the child often demonstrates asymmetry of fat folds in the gluteal &upper leg area because of the riding up of the femur on the affected side.

Galeazzi sign :-

Galeazzi sign
Galeazzi sign
  • This test is also known as the Allis test.
  • This test is good for the check to unilateral DDH &may be used in children from 3 to 18 months of age.

Technique :

  • In the starting position child lies supine with the knees flexed & hips flexed to 90′.

Result :

  • A positive test is indicated if one knee is higher than the other.

Telescoping sign :-

Telescoping sign
Telescoping sign
  • This test is also known as Piston or Dupuytren’s test.
  • The telescoping sign is evident in a child with a dislocated hip.

Technique :

  • In the starting position child lies supine position.
  • The examiner flexes the knee &hip to 90′.
  • The femur is pushed down onto the examining table.
  • The femur & leg are then lifted up & away from the table.
  • With the normal hip, little movement occurs with this action.
  • With the dislocated hip, however, there is a lot of relative movement.
  • These excessive movements is called telescoping or pistoning.

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