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Orthopaedics Congenital Dislocation of Hip (C.D.H.) 6be7be5c

Following is not a part of ortolani test -

A
Examiners thumb rests on the medial thigh
B
Examiners fingers li on the greater trochanter
C
Hips are flexed to 90 degrees and gently abducted
D
Jerk is given to the knee to dislocate the femur head - jerk of exit
High-Yield Explanation
Ans. is 'd' i.e., Jerk is given to the knee to dislocate the femur head - jerk of exit * In Ortolani's test, the baby's thighs are held with the thumbs medially on thigh and the fingers resting on the greater trochanters; the hips are flexed to 90 degrees and gently abducted. Normally there is smooth abduction to almost 90 degrees.# In congenital dislocation the movement is usually impeded, but if pressure is applied to the greater trochanter there is a soft 'clunk' as the dislocation reduces, and then the hip abducts fully (the 'jerk of entry').# If abduction stops halfway and there is no jerk of entry, there may be an irreducible dislocation.

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