Trendelenburg gait Re: Re: Planter fascitis and Gait terms: anyone know what this means?

[Guest guest]

Thanks to all who helped me with terms I found in my medical notes.

Mostly I am concerned about this Trendelenburg gait sign. It is probably my

most painful symptom.

Is this a typical note for someone with hypermobile type? Does anyone else

have this? Do all Arthrochalasia type have this sign?

I am an adult and could not find much information geared towards this sign

in adults? Can it be adult onset? I have always had problems with this hip

and was seen for it as a child and not treated. When I ask doctors about it

they get that 'glassy eyed look'; is it possible that they are thinking that

since I was not dxed or treated as a child that they feel this is not an

issue?

What do they do for this as an adult if untreated as a child? Is there a

brace that prevents it? What types of medication is good for this type of

pain?

Sorry for all the questions.

Thank you all in advance.

On 2/13/04 4:16 PM, " ceda " <ceda > wrote:

> Re: Planter fascitis and Gait terms: anyone know what this means?

>

> trendelberg means limp to do with the hips the test looks for

> Whether or not the hip abductors, principally gluteus medius, are

> functioning normally. Trendelberg is a sign of congenetal hip

> dislocation and hip luxation aswell as ther things

> http://www.whonamedit.com/synd.cfm/970.html

>

> (http://www.echo.uqam.ca/mednet/anglais/hermes_a/hip/part_2.html#Answe

> r_09_01)

>

> What is a Trendelenburg gait

> (also called a gluteus medius lurch or an abductor lurch)?

> A Trendelenburg gait is seen in patients with poorly functioning hip

> abductors. The causes of this have already been discussed

> under " Trendelenburg test " .

>

> Because of inadequate pelvic abductor function, the patient with a

> Trendelenburg gait tends to fall to the opposite side when in the

> stance phase on the affected side (the opposite hip sags down). To

> prevent himself from falling the patient shifts his center of gravity

> towards the affected side by throwing his trunk and head in that

> direction. The result is a gait with a lateral lurch towards the

> affected side, the lurch occurring when in the stance phase on the

> affected side (fig. 143).

>

> If the patient has bilateral abductor dysfunction, as may occur with

> bilateral congenital hip dislocation or in muscular dystrophy, the

> lateral lurching will be bilateral. This is often referred to as

> a " waddle gait " (as in waddling ducks).

>

>

> Sharon