Barlow Maneuver
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Barlow Maneuver
The Barlow maneuver is a physical examination performed on infants to screen for developmental dysplasia of the hip. It is named for Dr. Thomas Geoffrey Barlow (September 25, 1915 – May 25, 1975), an English orthopedic surgeon, who devised this test. It was clinically tested during 1957–1962 at Hope Hospital, Salford, Lancashire. Procedure The maneuver is easily performed by adducting the hip (bringing the thigh towards the midline) while applying pressure on the knee, directing the force posteriorly. Interpretation If the hip is dislocatable — that is, if the hip can be popped out of socket with this maneuver — the test is considered positive. The Ortolani maneuver is then used, to confirm the positive finding (i.e., that the hip actually dislocated). See also * Hip dysplasia (human) Hip dysplasia is an abnormality of the hip joint where the socket portion does not fully cover the ball portion, resulting in an increased risk for joint dislocation. Hip dyspla ...
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Infant
An infant or baby is the very young offspring of human beings. ''Infant'' (from the Latin word ''infans'', meaning 'unable to speak' or 'speechless') is a formal or specialised synonym for the common term ''baby''. The terms may also be used to refer to juveniles of other organisms. A newborn is, in colloquial use, an infant who is only hours, days, or up to one month old. In medical contexts, a newborn or neonate (from Latin, ''neonatus'', newborn) is an infant in the first 28 days after birth; the term applies to premature, full term, and postmature infants. Before birth, the offspring is called a fetus. The term ''infant'' is typically applied to very young children under one year of age; however, definitions may vary and may include children up to two years of age. When a human child learns to walk, they are called a toddler instead. Other uses In British English, an ''infant school'' is for children aged between four and seven. As a legal term, ''infancy'' is more lik ...
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Hip Dysplasia (human)
Hip dysplasia is an abnormality of the hip joint where the socket portion does not fully cover the ball portion, resulting in an increased risk for joint dislocation. Hip dysplasia may occur at birth or develop in early life. Regardless, it does not typically produce symptoms in babies less than a year old. Occasionally one leg may be shorter than the other. The left hip is more often affected than the right. Complications without treatment can include arthritis, limping, and low back pain. Females are affected more often than males. Hip dysplasia was described at least as early as the 300s BC by Hippocrates. Risk factors for hip dysplasia include female sex, family history, certain swaddling practices, and breech presentation whether an infant is delivered vaginally or by cesarean section. If one identical twin is affected, there is a 40% risk the other will also be affected. Screening all babies for the condition by physical examination is recommended. Ultrasonography may ...
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English People
The English people are an ethnic group and nation native to England, who speak the English language in England, English language, a West Germanic languages, West Germanic language, and share a common history and culture. The English identity is of History of Anglo-Saxon England, Anglo-Saxon origin, when they were known in Old English as the ('race or tribe of the Angles'). Their ethnonym is derived from the Angles, one of the Germanic peoples who migrated to Great Britain around the 5th century AD. The English largely descend from two main historical population groups the West Germanic tribes (the Angles, Saxons, Jutes and Frisians) who settled in southern Britain following the withdrawal of the Ancient Rome, Romans, and the Romano-British culture, partially Romanised Celtic Britons already living there.Martiniano, R., Caffell, A., Holst, M. et al. Genomic signals of migration and continuity in Britain before the Anglo-Saxons. Nat Commun 7, 10326 (2016). https://doi.org/10 ...
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Orthopedic Surgery
Orthopedic surgery or orthopedics ( alternatively spelt orthopaedics), is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders. Etymology Nicholas Andry coined the word in French as ', derived from the Ancient Greek words ὀρθός ''orthos'' ("correct", "straight") and παιδίον ''paidion'' ("child"), and published ''Orthopedie'' (translated as ''Orthopædia: Or the Art of Correcting and Preventing Deformities in Children'') in 1741. The word was assimilated into English as ''orthopædics''; the ligature ''æ'' was common in that era for ''ae'' in Greek- and Latin-based words. As the name implies, the discipline was initially developed with attention to children, but the correction of spinal and bone deformities in all stages of life eventually ...
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City Of Salford
The City of Salford () is a metropolitan borough within Greater Manchester, England. The borough is named after its main settlement, Salford. The borough covers the towns of Eccles, Swinton, Walkden and Pendlebury, as well as the villages and suburbs of Monton, Little Hulton, Boothstown, Ellenbrook, Clifton, Cadishead, Pendleton, Winton and Worsley. The borough has a population of 270,000, and is administered from the Salford Civic Centre in Swinton. Salford is the historic centre of the Salford Hundred an ancient subdivision of Lancashire. The City of Salford is the 5th-most populous district in Greater Manchester. The city's boundaries, set by the Local Government Act 1972, include five former local government districts. It is bounded on the southeast by the River Irwell, which forms part of its boundary with Manchester to the east, and by the Manchester Ship Canal to the south, which forms its boundary with Trafford. The metropolitan boroughs of Wigan, Bolton, and ...
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Lancashire
Lancashire ( , ; abbreviated Lancs) is the name of a historic county, ceremonial county, and non-metropolitan county in North West England. The boundaries of these three areas differ significantly. The non-metropolitan county of Lancashire was created by the Local Government Act 1972. It is administered by Lancashire County Council, based in Preston, and twelve district councils. Although Lancaster is still considered the county town, Preston is the administrative centre of the non-metropolitan county. The ceremonial county has the same boundaries except that it also includes Blackpool and Blackburn with Darwen, which are unitary authorities. The historic county of Lancashire is larger and includes the cities of Manchester and Liverpool as well as the Furness and Cartmel peninsulas, but excludes Bowland area of the West Riding of Yorkshire transferred to the non-metropolitan county in 1974 History Before the county During Roman times the area was part of the Bri ...
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Adduction
Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relative to the anatomical position of the body parts involved. Anatomists and others use a unified set of terms to describe most of the movements, although other, more specialized terms are necessary for describing unique movements such as those of the hands, feet, and eyes. In general, motion is classified according to the anatomical plane it occurs in. ''Flexion'' and ''extension'' are examples of ''angular'' motions, in which two axes of a joint are brought closer together or moved further apart. ''Rotational'' motion may occur at other joints, for example the shoulder, and are described as ''internal'' or ''external''. Other terms, such as ''elevation'' and ''depression'', describe movement above or below the horizontal plane. Many anatomic ...
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Ortolani Maneuver
The Ortolani test is part of the physical examination for developmental dysplasia of the hip, along with the Barlow maneuver. Specifically, the Ortolani test is positive when a posterior dislocation of the hip is reducible with this maneuver. This is part of the standard infant exam performed preferably in early infancy.The Ortolani test is named after Marino Ortolani, who developed it in 1937. Procedure The Ortolani test is performed with the Barlow maneuver and inspection of the hip joint and legs. It relocates the dislocation of the hip joint that has just been elicited by the Barlow maneuver. The Ortolani test is performed by an examiner first flexing the hips and knees of a supine infant to 90°, then with the examiner's index fingers placing anterior pressure on the greater trochanters, gently and smoothly abducting the infant's legs using the examiner's thumbs. Interpretation A positive sign is a distinctive 'clunk' which can be heard and felt as the femoral head ...
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Child Development
Child development involves the Human development (biology), biological, developmental psychology, psychological and emotional changes that occur in human beings between birth and the conclusion of adolescence. Childhood is divided into 3 stages of life which include early childhood, middle childhood, and late childhood (preadolescence). Early childhood typically ranges from infancy to the age of 6 years old. During this period, development is significant, as many of life's milestones happen during this time period such as first words, learning to crawl, and learning to walk. There is speculation that middle childhood/preadolescence or ages 6–12 are the most crucial years of a child's life. Adolescence is the stage of life that typically starts around the major onset of puberty, with markers such as menarche and spermarche, typically occurring at 12–13 years of age. It has been defined as ages 10 to 19 by the World Health Organization. In the course of development, the individu ...
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