Which of the following is NOT a finding in the Galeazzi sign?

• A. Asymmetrical lengths of the tibia
• B. Uneven positions of the knees
• C. Asymmetrical width of the hips
• D. Equal height of the knees

Answer: (D)

The Galeazzi sign is used to assess for developmental dysplasia of the hip (DDH) in infants and young children. When performing the Galeazzi test, the patient's knees are flexed, and the clinician observes the heights of the knees, as well as the alignment of the legs and hips.

In a healthy, normally developed child, the knees should be at equal heights when the child is lying supine and the knees are flexed. If there is a hip dislocation or another hip anomaly, it can result in one knee appearing lower than the other, indicating an asymmetry. Therefore, the finding of equal height of the knees signifies that there is no observed discrepancy, which aligns with typical findings. This is why it is the correct response to identify as NOT being associated with the Galeazzi sign.

The other listed options would typically suggest abnormalities in the hip joint or lower extremities. Asymmetrical lengths of the tibia, uneven positions of the knees, and asymmetrical width of the hips would indicate some form of deformity or dislocation and are all findings that a clinician might note during the assessment related to the Galeazzi sign.