Image Based Question – 74569

The following pelvic X-ray was seen in a patient. All the following signs will be present except:

A. Narath

B. Ortolani

C. Barlow

D. Gaenslen’s

Correct Answer » D Explanation

Ans: D. Gaenslen’s

(Ref: Apley’s 9Ie p499)

• The given X-ray is showing features of Developmental dysplasia of Hip.

Gaenslen’s test:

• Used to detect musculoskeletal abnormalities and primary-chronic inflammation of the lumbar vertebrae and sacroiliac joint.
• Tests for spondyloarthritis, sciatica, or other forms of rheumatism.”

DDH:

• In early neonatal period due to the widespread adoption of clinical examination (including Ortolani’s test, Barlow maneuvers, Galeazzi’s sign).
• Diagnosis confirmed with ultrasound.