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Unformatted text preview: ldren with body casts or those who have undergone spinal fusion warrants attention
because of the possibility of superior mesenteric artery syndrome. Therefore options 2, 3, and 4 are incorrect.
158. Developmental Dysplasia of the Hip (DDH) In DDH, the head of the femur is seated improperly in the acetabulum or hip socket
of the pelvis. In the Ortolani maneuver, the examiner reduces the dislocated femoral head back into the acetabulum. A positive
finding is the palpable click or ³clunk´ on movement of the femoral head over the acetabular ring. This maneuver does not result
in permanent relocation. Its purpose is to note the possibility of correction by means of the Pavlik harness or spica casting. In the 11 Barlow maneuver, the examiner pushes the unstable femoral head out of the acetabulum. If it dislocates, it usually relocates
immediately. The purpose is to note the presence of instability. Options 1 and 2 are done to assess for the possible presence of
159. Developmental Dysplasia of the Hip (DDH) The Pavlik harness should be worn 16 to 23 hours a day and should be re...
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- Spring '14