What indicates a present Galeazzi sign?

• A. Equal tibial/knee height
• B. Uneven hip heights
• C. Uneven tibial/knee height
• D. Legs appear parallel

Answer: (C)

The presence of the Galeazzi sign is identified by uneven tibial or knee heights when the patient is in a supine position with their knees flexed. This sign is particularly relevant in assessing developmental dysplasia of the hip (DDH) or other hip joint pathologies. When one knee is higher than the other, it indicates a potential issue with the alignment or stability of the hip joints. A discrepancy in knee or tibial height suggests that one femur may be shorter or that there is an issue contributing to hip displacement or instability.

Other potential indicators present in the answer options do not specifically relate to the Galeazzi sign. For instance, equal tibial or knee height suggests normal alignment and symmetry, which would negate the presence of the Galeazzi sign. Similarly, uneven hip heights could suggest various conditions, but it does not explicitly confirm the Galeazzi sign. Legs appearing parallel typically indicates proper alignment without any hip or knee discrepancies, further reinforcing that the Galeazzi sign is associated specifically with the assessment of knee heights in relation to hip joint stability.