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Orthopaedics · Paediatric: Barlow test
Sample itemIn a Barlow test, the examiner adducts the flexed hip while applying posteriorly directed pressure. A positive test means what?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. The hip is located but can be dislocated
A positive Barlow test indicates an unstable hip that sits in the socket but can be dislocated by provocation. A positive Ortolani test denotes a dislocated hip that can be reduced. Both are valid only in the first few months of life.
Option by option
A. The hip is dislocated and can be reduced
That description is of the Ortolani test.
B. The hip is located but can be dislocated (correct)
Correct. Barlow detects a dislocatable hip.
C. The hip is fixed in dislocation
A fixed dislocation shows limited abduction rather than provocable instability.
D. The hip is stable
A stable hip does not dislocate with provocation.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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