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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2018.112

Type of Article: Original Research

Volume 5; Issue 5: 2018

Page No.: 630-634

DOI: 10.16965/ijims.2018.112

 

A FALSE POSITIVE GALLIAZZI SIGN AND MIMICKS EXCESSIVE ANTEVERSION OF FEMUR: DUE TO CONTRACTURE OF GLUTEUS MEDIUS MUSCLE

Ramesh Chandra Vadapalli *.

Assistant professor, Department of Orthopaedics, Santhiram Medical College & General Hospital, Nandyal, Kurnool, Andhra Pradesh, India.

Corresponding Author: Dr. Ramesh Chandra Vadapalli, Assistant professor, Department of Orthopaedics, Santhiram Medical College & General Hospital, Nandyal, Kurnool, Andhra Pradesh, India. E-Mail: drrameshvadapally@gmail.com

Abstract:

Isolated gluteus medius contracture limiting external rotation of thigh gives rise to a false positive galliazzi sign and mimicks excessive anteversion of femur. The purposes of this study is to report clinical and experimental investigations of a vascular necrosis which follows closed reduction of congenital hip dislocation with particular reference to its pathogenesis, prognosis and prevention. 5 patients (males, 3; females, 2), of 5 to 12 years old Childs diagnosed with GMC and were treated in the orthopedic department of Birds hospital, Tirupathi, Chitoor, A.P., They were inability to sit crossed leg, able to squat only when their thigh was internally rotated and abducted. Clinical examination revealed a tight band of tissue in the hip region, running from the iliac crest to the greater trochanter, laterally were included in the study. We found from the present study internal rotation contracture of hip due to contracture of gluteus medius muscle, this is the false positive galleazzi sign may be due to the contracted muscle causing abduction of hip in flexion, pulling the pelvis down by same mechanism as maximus contracture does, a condition not previously reported in the literature so far, to the best of our knowledge. After the fibrous band was incised full external rotation was then possible and the galleazzi sign was negative.

Key words: Galleazzi Sign, Mimicks Excessive Anteversion Of Femur, Gluteus Medius Muscle, And Crossed Leg.

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