Dr. Sáïshă over 5 years ago

Trendelenberg Gait / the hip drop🚶

The Trendelenberg Gait is caused by weakness of the abductor muscles of the lower limb, gluteus medius and gluteus minimus. People with a lesion of superior gluteal nerve (the nerve that supplies gluteus medius and minimus) have weakness of abducting the thigh at the hip level causing this abnormal gait. When standing on the right leg, if the left hip drops, it's a positive right Trendelenburg sign (the contralateral side drops because the ipsilateral hip abductors do not stabilize the pelvis to prevent the droop). This type of gait may also be seen in L5 radiculopathy and after poliomyelitis but is then usually seen in combination with foot drop. 😊