Developmental dysplasia of the hip practice

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Paediatricscommon
A term newborn girl is examined on the postnatal ward. She lay in a breech position from 34 weeks and was delivered by caesarean section. With the baby relaxed and supine, you flex both hips to 90 degrees, hold a knee in each hand, and gently abduct the left hip while lifting the greater trochanter forwards with your fingertips. You feel a definite clunk on the left, after which that hip abducts fully. The right hip abducts fully throughout and no clunk is felt. Which one of the following signs has been demonstrated?