title: Developmental dysplasia of hip screening using ortolani and barlow testing on breech delivered neonates.
abstract: BACKGROUND
  We conducted this study to compare the specificity and sensitivity of the Ortolani and Barlow tests performed by dedicated examiners, and to ascertain the incidence of developmental dysplasia of the hip (DDH) in breech babies.
  
  
  METHODS
  A dedicated examiner underwent specific training and testing by a paediatric orthopaedic surgeon. Routine examiners were medical officers who had basic training in medical school and were briefly trained by their superiors. The dedicated examiner examined 170 babies. Thirty babies including 5 babies with positive tests (according to the dedicated examiner) were examined by a blinded routine examiner. RESULTS of Ortolani and Barlow tests on 30 babies were compared with ultrasound examination by blinded radiologist.
  
  
  RESULTS
  Five babies had positive Ortolani and Barlow tests. The routine examiner did not detect positive Ortolani and Barlow tests.
  
  
  CONCLUSIONS
  The incidence of positive Ortolani and Barlow tests among breech babies was 2.8%. Result of Ortolani and Barlow tests by dedicated hip screener were better than results performed by routine examiner.
  
  
  BACKGROUND
  Ortolani and Barlow, Dedicated Examiner, Routine Examiner, Breech, Ultrasound.
authors.affiliation: Department of Orthopaedics, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan.
authors.forename: Ar
authors.initials: A
authors.lastname: Sulaiman
authors.affiliation: Department of Orthopaedics, Hospital Raja Perempuan Zainab II, Kota Bahru, Kelantan.
authors.forename: Zakaria
authors.initials: Z
authors.lastname: Yusof
authors.affiliation: Department of Orthopaedics, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan.
authors.forename: I
authors.initials: I
authors.lastname: Munajat
authors.affiliation: Department of Radiology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan.
authors.forename: Naa
authors.initials: N
authors.lastname: Lee
authors.affiliation: Department of Obstetric and Gynaecology, School of Medical Sciences,Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan.
authors.forename: Nik
authors.initials: N
authors.lastname: Zaki