Title: Trendelenburg Gait
Headings: Trendelenburg Gait
By Prodyut Das
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Content: In addition, the patient should maintain an upright posture without significant tilt of the upper trunk, which would indicate a compensatory mechanism to help the patient maintain his or her balance. A positive Trendelenburg sign is defined as either a compensatory tilt of the torso (vide supra) or a drop of the contralateral iliac crest (See Fig above), indicating that the ipsilateral hip abductors are unable to contract with adequate force to maintain a level pelvis. Instability of the pelvis from other etiologies may also create a positive Trendelenburg’s sign resulting from increased tensile forces on the bony structures of the hip. Therefore, diagnoses causing pelvic instability, such as Legg–Calve–Perthes disease or acetabular fractures of any etiology, may be considered as alternate causes of a positive test. YouTube
Prodyut Das
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Trendelenburg Gait
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The Trendelenburg gait, often discussed by writers concerned with hip pathology, is really only a magnification of normal movement pattern, much like the double bump anterior pelvic motion.