Trendelenburg gait
| Trendelenburg gait | |
|---|---|
| Synonyms | Gluteus medius lurch |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Lateral pelvic tilt, hip drop |
| Complications | Hip pain, lower back pain |
| Onset | Can occur at any age |
| Duration | Varies depending on underlying cause |
| Types | N/A |
| Causes | Weakness of the gluteus medius or gluteus minimus muscles, superior gluteal nerve injury |
| Risks | Hip surgery, neuromuscular disorders |
| Diagnosis | Physical examination, Trendelenburg test |
| Differential diagnosis | Limping, antalgic gait |
| Prevention | N/A |
| Treatment | Physical therapy, strengthening exercises, surgery |
| Medication | N/A |
| Prognosis | Depends on underlying cause and treatment |
| Frequency | Common in individuals with hip disorders |
| Deaths | N/A |
Trendelenburg Gait is a type of abnormal gait, or manner of walking, characterized by the dropping of the hip on the side opposite to the one being lifted off the ground. This condition is named after Friedrich Trendelenburg, a German surgeon who first described the gait.
Causes
The primary cause of Trendelenburg Gait is weakness or damage to the gluteus medius muscle, which is responsible for stabilizing the pelvis during walking. This can be due to a variety of conditions, including muscular dystrophy, nerve damage, hip injury, or hip surgery.
Symptoms
The most noticeable symptom of Trendelenburg Gait is the dropping of the hip on the side opposite to the one being lifted off the ground. This can lead to an abnormal walking pattern, often described as a "waddling" gait. Other symptoms may include pain in the hip or leg, difficulty walking, and reduced mobility.
Diagnosis
Diagnosis of Trendelenburg Gait typically involves a physical examination by a healthcare provider, who will observe the patient's walking pattern. Additional tests, such as MRI or CT scan, may be used to confirm the diagnosis and identify the underlying cause.
Treatment
Treatment for Trendelenburg Gait focuses on addressing the underlying cause and improving walking ability. This may involve physical therapy, surgery, or the use of assistive devices such as crutches or wheelchairs.
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Contributors: Prab R. Tumpati, MD