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June 14, 1965

Benign Asymmetry of the Femur

JAMA. 1965;192(11):1014-1015. doi:10.1001/jama.1965.03080240084034

To the Editor:—  A positive Galeazzi's sign may indicate a femoropelvic pathology. Frequently, however, it is only an indication of a benign asymmetry of the femur which requires no treatment.Galeazzi in 19301 described shortening of the thigh as indicative of a femoropelvic pathology (Fig 1). He suggested that this sign might result from a defective acetabulum with subluxation, congenital dislocation of the hip, coxa vara, rudimentary development of the head, shaft, or neck of the femur, absence of a portion of the shaft of the femur, etc. A positive Galeazzi's sign, however, may simply indicate that one thigh is somewhat shorter than the other. This latter condition—benign asymmetry of the femur—will correct itself.In the seven-year period from 1956 through 1963, we have seen 52 infants with a positive Galeazzi's sign. Forty of these patients had significant pathology of congenital dysplasia, dislocation, subluxation, etc, and 12 had

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