Trendelenburg gait

Trendelenburg gait

SignSymptom infobox
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The Trendelenburg gait is an abnormal gait caused by weakness of the abductor muscles of the lower limb, gluteus medius and gluteus minimus. Patients with a lesion of superior gluteal nerve have weakness of abducting the thigh at the hip. This type of gait may also be seen in L5 radiculopathy and after poliomyelitis, but is then usually seen in combination with foot drop.

During the stance phase, the weakened abductor muscles allow the pelvis to tilt down on the opposite side. To compensate, the trunk lurches to the weakened side to attempt to maintain a level pelvis throughout the gait cycle. The pelvis sags on the opposite side of the lesioned superior gluteal nerve.

Biofeedback and physical therapy have been used in treatment.cite journal |author=Petrofsky JS |title=The use of electromyogram biofeedback to reduce Trendelenburg gait |journal=Eur. J. Appl. Physiol. |volume=85 |issue=5 |pages=491–5 |year=2001 |month=September |pmid=11606020 |doi= |url=http://link.springer.de/link/service/journals/00421/bibs/1085005/10850491.htm]

References

* Wheeless' textbook of orthopaedics [http://www.wheelessonline.com/]
* Ropper and Brown, Adams and Victor's Principles of Neurology, 8th edition(2005), p.105

ee also

* Gait abnormality
* Trendelenburg position
* Trendelenburg's sign
* Snapping hip syndrome
* Friedrich Trendelenburg

External links

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Look at other dictionaries:

  • Trendelenburg gait — the gait characteristic of paralysis of the gluteus medius muscle, marked by a listing of the trunk toward the affected side at each step. See also Trendelenburg test (def. 2), under test. Called also compensated gluteus medius g. and gluteal g …   Medical dictionary

  • Trendelenburg's sign — is found in people with weak abductor muscles of the hip. It is named after the German surgeon Friedrich Trendelenburg.The Trendelenburg sign is said to be positive if, when standing on one leg, the pelvis drops on the side opposite to the stance …   Wikipedia

  • Trendelenburg — could refer to:*Friedrich Adolf Trendelenburg (1802 1872), German philosopher and philologist *His son, Friedrich Trendelenburg (1844 1924), German surgeon *The Trendelenburg position *Trendelenburg s sign *The Trendelenburg gait …   Wikipedia

  • Gait abnormality — Abnormalities of gait and mobility ICD 10 R26 ICD 9 781.2 DiseasesDB 15409 …   Wikipedia

  • Trendelenburg position — In the Trendelenburg position the body is laid flat on the back (supine position) with the feet higher than the head, in contrast to the reverse Trendelenburg position, where the body is tilted in the opposite direction. This is a standard… …   Wikipedia

  • gait — Manner of walking. antalgic g. a characteristic g. resulting from pain on weightbearing in which the stance phase of g. is shortened on the affected side. ataxic g. SYN: cerebellar g.. calcaneal g. a g. disturbance, characterized by walking on… …   Medical dictionary

  • Trendelenburg — Friedrich, German surgeon, 1844–1924. See T. operation, T. position, reverse T. position, T. sign, T. symptom, T. test, T. gait …   Medical dictionary

  • Trendelenburg sign — 1. see under test. 2. see under gait …   Medical dictionary

  • Trendelenburg symptom — see under gait …   Medical dictionary

  • Steppage gait — (High stepping, Neuropathic gait) is a form of gait abnormality that is associated with a loss of dorsiflexion.[1] It can be caused by damage to the deep peroneal nerve.[2] Presentation Toes point down. [3] …   Wikipedia

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