The Barlow manoeuvre is described for examination of the left hip and the examiner's right hand. From a position of abduction, the hip is adducted to 70° and gentle pressure is exerted by the examiner's right thumb on the lesser trochanter in a backward and lateral direction. If the thumb is felt to move backwards over the labrum (the fibro-cartilaginous rim of the acetabulum) onto the posterior aspect of the joint capsule, a clunk may be heard as the head of the femur dislocates out of the acetabulum. England (2010c) describes the noise as a deeper clunk with significant movement. The dislocatable hip can feel strangely soft with little or no resistance. The Ortolani manoeuvre will then be performed to return the head of femur to the acetabulum. To examine the right hip the role of the examiner's hands is reversed. Dove et al (2011) support the view that it is acceptable for the experienced examiner to undertake the Ortolani and Barlow manoeuvres sequentially on both hips simultaneously.