(A) Asymmetry of gluteal and thigh folds.

(B) Limited hip abduction as seen in flexion.

(C) Apparent shortening of the femur, as indicated by the level of the knees in flexion.

(D) Ortolani click (if infant is under 4 weeks of age).

(E) Positive Trendelenburg sign or gait (if child is weight bearing).

(From Hockenberry, M, & Wilson, D: Wong’s Nursing Care of Infants and Children, ed 8. Mosby, St. Louis, 2007.)