Orthopedics Book

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Trendelenburg's Symptom

Aka: Trendelenburg's Symptom, Trendelenburg Gait, Trandelenburg Test, Modified Trandelenburg Test
  1. See Also
    1. Abnormal Gait
    2. Congenital Hip Dysplasia
    3. Abnormal Gait in Children
    4. Hip Exam
  2. 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
  3. 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)
  4. 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
  5. 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. References
    1. Wilson (2014) Am Fam Physician 90(1): 27-34 [PubMed]

Trendelenburg test (C0231731)

Concepts Diagnostic Procedure (T060)
SnomedCT 66165006
English Trendelenburg test, Trendelenburg test (procedure)
Spanish prueba de Trendelenburg (procedimiento), prueba de Trendelenburg
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Trendelenburg's symptom (C0919586)

Concepts Sign or Symptom (T184)
Italian Sintomo di Trendelenburg
Japanese トレンデレンブルグ症状, トレンデレンブルグショウジョウ
Czech Trendelenburgův příznak
Hungarian Trendelenburg-tünet
English Trendelenburg's symptom
Portuguese Sintoma de Trendelenburg
Spanish Signo de Trendelenburg
Dutch symptoom van Trendelenburg
French Symptôme de Trendelenburg
German Trendelenburg-Zeichen
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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