OnExam

The Barlow manoeuvre is a screening test used to assess for developmental dysplasia of the hip

Performing the Test

  1. With the baby supine, flex the knees and fully abduct the hips
  2. Place your fingers over the greater trochanter of each femur and place your thumbs over each lesser trochanter
  3. Apply a downward and lateral pressure with your thumb as you adduct the hips
  4. Barlow test: positive if the head of the femur is easily displaced laterally and posteriorly onto the lip of the acetabulum

References

  1. Swartz MH. Textbook of Physical Diagnosis: History and Examination. 6th ed Philadelphia: W.B. Saunders Company; 2010.
  2. Bickley LS, Szilagyi PG. Bates' guide to physical examination and history taking. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2009.