Galeazzi test

Galeazzi test is a physical examination procedure primarily used to identify hip dislocation and/or femoral shortening. This test is named after the Italian surgeon, Riccardo Galeazzi, who introduced it in the early 20th century.

Procedure

The Galeazzi test is performed with the patient in a supine position. The examiner flexes the patient's knees and hips while the patient's feet are flat on the table. If one knee appears higher than the other, it suggests a positive Galeazzi test, indicating a potential hip dislocation or femoral shortening on the side of the higher knee.

Clinical Significance

The Galeazzi test is a crucial part of the physical examination in newborns and infants for the early detection of Developmental Dysplasia of the Hip (DDH). Early diagnosis and treatment of DDH can prevent long-term complications such as osteoarthritis and hip dislocation.

Limitations

The Galeazzi test is not 100% accurate. False positives can occur if the patient has a knee deformity or if the test is not performed correctly. Therefore, it should be used in conjunction with other diagnostic tools such as ultrasound or X-ray.

See Also

• Ortolani test
• Barlow maneuver
• Hip dysplasia