Trendelenburg Gait: Pathogenesis and clinical findings



Skeletal Pathology of the Hip

 • Arthritis

 • Congenital hip dysplasia

 • Coxa vara

 • Coxa valga

 • Slipped capital femoral epiphysis

 • Chondrodysplasia

Neurologic

 • Stroke

 • Root Lesion in the Spinal canal (L4, L5, S1)

 • Superior gluteal nerve damage (L4, L5, S1)

 • Myelomeningocele

 • Poliomyelitis

Activity/ Trauma

 • Strains/ tears of gluteus medius / minimus

 • Greater Trochanter Fracture

 • Hip dislocation

Iatrogenic

 • Hip surgery



Trendelenburg Gait

 • Compensatory muscular dysfunction around the hip

 • Degeneration of the hip joints

 • Decr ROM in hip abduction and medial rotation

 • Sacroiliac Joint Pain

 • Valgus position of knee due to laterally displaced weight over the hip



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