Trendelenburg's Sign

It occurs in people with weak or paralyzed Abductor Muscles(Gluteus Medius, Gluteus Minimus) of hip.

Examination:

Sign demonstrated by patient by asking him/her to stand on one limb, If pelvis drop on other side of leg which is weight bearing side for 30 seconds so it means sign is positive.

Observation:

1. Gait is abnormal,typically during stance phase of affected side.
2. Weak Abductor Muscles allow pelvis to tilt inferiorly.

Causes:

1. Iatrogenic,
2. Osteoarthritis,
3. Congenital Hip Dislocation.

Diagnostic Test:

Brodie Test.

Risk Factors:

1. Nerve Injury,
2. Airway Edema.

Complications:

1. Cardiac Contractility increase,
2. ICP (Intra Cranial Pressure) raised.

Treatment:

Strengthening of weak Abductor muscles includes :

1. Side Plank Abduction,
2. Squat,
3. Front Plank With Hip Extension,
4. Contraction of Gluteus Minimus and Gluteus Medius on stance side prevent excessive pelvic tilt during swing phase on opposite side.