Name:
Galeazzi Test or Allis Sign
Description:
Galeazzi Test or Allis Sign
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Duration:
T00H04M00S
Embed URL:
https://stream.cadmore.media/player/99f24957-984e-40d2-a128-95cf4a2f3734
Content URL:
https://cadmoreoriginalmedia.blob.core.windows.net/99f24957-984e-40d2-a128-95cf4a2f3734/Galeazzi Test or Allis Sign.mp4?sv=2019-02-02&sr=c&sig=YIkSim6JrNj6uyOGhbn9ScrG9QzDMeestGU4HncO%2B4M%3D&st=2024-11-21T14%3A30%3A02Z&se=2024-11-21T16%3A35%3A02Z&sp=r
Upload Date:
2024-05-31T00:00:00.0000000
Transcript:
Language: EN.
Segment:0 .
VINAY KUMAR SINGH: So viewers, today I'm going to demonstrate to you a clinical test, which is called the Galeazzi test. It is also known as the Allis sign. It is a good test and a good screening tool for limb length discrepancy due to tibia and femur. This was devised by Ricardo Galeazzi, who was an orthopaedic surgeon in Milan, and he devised this test after his extensive work in DDH.
VINAY KUMAR SINGH: Now, the state test has been now extrapolated to adults. And as I said, it's a good screening tool. I'm going to demonstrate to you how to do this test. So to do this test, first, the patient has to be supine and then put him in the right position. So the position is: bend the hip. The hip should be around 45 degrees of flexion and [the] knee should be roughly around 90 degrees of flexion. So make sure [the] hip is 45 degrees of flexion and the knee is around 90 degrees of flexion.
VINAY KUMAR SINGH: Then the third important thing is to make sure that the heel is at the same level. So I'm going to slide my finger and make sure that the heel is at the same level. So this is the position in which we are going to do this test. Doing this test initially, in your initial phases, you can get confused, but I will make this simple for you. So the next step will be; put your hand on the distal aspect of the femur. When you're putting a hand on femur,
VINAY KUMAR SINGH: at this point of time, we are assessing the tibia. So any discrepancy in leg length in the tibia, you will assess now when your hand is on [the] femur. So if you see any gap, that will suggest that that side of the limb is short. As this patient is normal, I don't see any gap which suggests that there is no shortening due to [the] tibia. So, the second aspect of the test is to put your hand in front of the tibia. When you are putting a hand in front of the tibia,
VINAY KUMAR SINGH: at this point of time, you are assessing the femur, so any discrepancy due to femoral leg length will manifest now. So again, if there is any shortening, then you will start seeing the gap which will suggest that there is shortening due to [the] femur. Now again, just to make it simple, when your hand is on [the] tibia, you are assessing [the] femur. When your hand is on [the] femur, you are assessing [the] tibia.
VINAY KUMAR SINGH: Now I'm going to demonstrate the same test in a patient who has got abnormalities and has got positive findings. So now I will demonstrate the same test in a patient in which there is some positive findings. So again, 45 degrees and near 90 degrees, hand behind the heels to make sure that both the heels are at the same level. When I'm putting my hand in front of the femur, I don't see any gap.
VINAY KUMAR SINGH: That means there is no leg length discrepancy due to [the] tibia, so the tibiae are of the same length. However, when I put my hand in front of the femur, you see there is this much gap and this is the gap that signifies that amount of shortening that is present in this particular patient due to shortening of the femur. Then we have special tests like {inaudible} test to see whether it's {inaudible} shortening.
VINAY KUMAR SINGH: So again, to summarize, if you're putting hand on femur, you are looking for shortening of the tibia. If you are putting hand on tibia, you are looking for shortening of the femur. On this occasion, it's roughly, I can see, there is shortening of around 6 centimetres. So this was a quick demonstration of Galeazzi test. It's an extremely useful test to identify a leg length discrepancy.
VINAY KUMAR SINGH: It's a good screening test. I hope this video made you understand the test. Do subscribe to our channel and do share our video.
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