Exam

Trendelenburg's Symptom

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Trendelenburg's Symptom, Trendelenburg Gait, Trandelenburg Test, Trendelenburg Test, Modified Trandelenburg Test, Modified Trendelenburg Test

  • See Also
  1. Abnormal Gait
  2. Congenital Hip Dysplasia
  3. Abnormal Gait in Children
  4. Hip Exam
  • Indication
  1. Developmental Dysplasia of the Hip evaluation
    1. Performed in infants and children who are walking
  2. Identify hip abductor weakness (especially gluteus medius)
  3. Intrinsic Hip Joint pathology may also cause Trandelenburg Gait
  • Exam
  • Modified Trandelenburg Test (Standing)
  1. Technique
    1. Patient stands on affected leg and lifts the unaffected leg from floor
  2. Interpretation: Positive Test
    1. Pelvis (iliac crest) drops down on side of lifted leg, below the level of the painful, affected side (more than 2 cm)
  • Exam
  • Trandelenburg Test or Trendelenburg Gait (Walking)
  1. Limp on side with dislocation
  2. Center of gravity shifted over non-affected side
  3. Pelvis drops down toward unaffected side (more than 2 cm) during the heel strike on the affected side
  • Interpretation
  • Positive Modified Trandelenburg Test (or Trandelenburg Gait)
  1. Weakness on the affected side
  2. Hip Labral Tear
  3. Transient Synovitis
  4. Leg-Calve-Perthes Disease
  5. Slipped Capital Femoral Epiphysis (SCFE)
  6. Gluteal Tendinopathy
  • References
  1. Wilson (2014) Am Fam Physician 90(1): 27-34 [PubMed]