Unilateral | Bilateral* | |
Birth to 3 months of age | ||
Hip instability¶ (demonstrated by positive Ortolani or Barlow testsΔ) | Yes | Yes |
Asymmetric leg creases (inguinal, gluteal, thigh, or popliteal) | Yes | No |
Apparent shortening of femur (ie, positive Galeazzi signΔ [also called Allis or Perkins sign]) | Yes | No |
3 to 12 months of age | ||
Limitation of hip abduction in 90° of flexion | Yes | Yes |
Apparent shortening of the femur (ie, positive Galeazzi signΔ [also called Allis or Perkins sign]) | Yes | No |
Laterally rotated posture in prone position (ie, increased femoral anteversion) | Yes | Yes |
Marked asymmetry of leg creases (inguinal, gluteal, thigh, or popliteal) | Yes | No |
Klisic test◊ | Yes | Yes |
After the child begins to walk | ||
Excessive lordosis | No | Yes |
Prominent greater trochanter | Yes | Yes |
Gluteus medius lurch (Trendelenburg gait) | Yes | Yes |
Positive Trendelenburg sign | Yes | Yes |
Short leg limp, with toe-heel gait and out-toeing | Yes | No |
Increasing adduction contracture of the hip, with compensatory genu valgum | Yes | Yes |
Do you want to add Medilib to your home screen?