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학습 자료 둘러보기 →In infants over 3-6 months, the Barlow and Ortolani maneuvers become less reliable. Focus the exam on static anatomical changes due to established soft tissue contractures and proximal femoral migration.
The most indicative finding is asymmetrical gluteal and thigh skin folds. This results from limb shortening causing soft tissue bunching. Also assess for limited hip abduction (<60 degrees) and a positive Galeazzi sign (unequal knee heights).
Asymmetrical skin folds can be a normal variant in ~20% of healthy infants. Always correlate with other findings like limited abduction and Galeazzi sign. Confirm diagnosis with ultrasound before 6 months or X-ray after.
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