Re: Re: Trendelenburg gait

[Guest guest]

Thanks Aase,

this was a hit that I hadn't got before. I hadn't read before that it was

renamed.

Times that it become excruciating for me is during my menstrual cycle - my

front muscle goes into such a contraction it feels like a hard menstrual

cramp and that is how I experience it. Whatever it is it was also

retraumatised during the birth of my oldest girl when they gave me the shot

in the middle of a contraction -- it was over a year before that non-stop

intensity of pain began to slow down. Also 'something' happened to it in a

cone biopsy procedure; whatever that was caused it to be somehow related to

my cycles. When I was a kid it was noticed; I was taken to the doctor and I

recall them talking to my mother about spina bifida and another disorder. I

was given shoes that were modified for one year only and never taken back to

the doc. I was constantly reminded not to 'walk like that'; looking back I

can understand that this is what they were referring to.

I am curious how many people have this sign. Perhaps my docs are looking

the other way as it is beyond the window of treatment time.

On 2/19/04 10:22 AM, " ceda " <ceda > wrote:

>

>

> This was probably the most useful of the first hits I got:

>

> from http://www.gpnotebook.co.uk/

....

>

> * any condition that brings the origin and

> insertion of gluteus medius together:

> * subluxation or dislocation of the hip

> * coxa vara

> * greater trochanter fractures

> * slipped upper femoral epiphysis

> * abductor paralysis or weakness e.g.:

> * polio

> * root lesion

> * post-operative nerve damage

> * muscle-wasting disease

> * any painful hip disorder which results in gluteal inhibition

>

> Caution must be exercised as false positives have been noted in 10% of cases.

....

>

> This condition has recently been renamed

> developmental dysplasia of the hip or DDH, as

> some feel that this may more accurately describe

> the condition....

....

> (Treatment)more than 6 years old

>

> If CDH is unilateral, then operative reduction is

> preferred. If the head is reduced but there is

> poor coverage, then a bony roof should be

> constructed. This is achieved by repositioning

> the acetabulum and entire innominate bone - a

> Salter or innominate osteotomy - or constructing

> a shelf in the acetabulum.

>

> If there has been marked anteversion of the

> femoral head, then this may be corrected with a

> de-rotational osteotomy of the femur.

>

> In a bilateral dislocation, operative reduction

> is only undertaken if the deformity is severe.

>

> After the age of 11, operations are generally

> only carried out if pain exists: possibilities

> include total hip replacement and arthrodesis

[Guest guest]

Hi " Laxity " ,

I must admit that I thought this sounds a lot like how I walk or

especially used to walk. I remember friends teasing me when we were

around 13-14, calling me the penguin... Because I was walking in that

funny way swinging to each side... I have never heard any names for

it though. I did not have congenital hip dislocation, but my mom was

told that I was so weak and that something was wrong, and she did

describe that I was very floppy and different from the other two

kids... When I was a teenager I was diagnosed with hip dysplasia, but

I really don't have it. I have loose hips though, but the sockets

seem to be OK. My hips snap, the bones " clonk " together when I walk,

the joints seem to be snapping. The hips also goes out to the sides

easily.

It is really interesting what you say about when you have your

period. When I have my period, I have a lot more problems in general,

and have to be really careful. I also get awful pain, also in the hip

area and also down my thighs, especially the front. The muscles cramp

up and becomes really hard and painful. I have been lucky to get my

period on weekends for years, but a while ago I started having them

on weekdays again. I have been away from work a few times because of

that since then...

Aase Marit

>

>this was a hit that I hadn't got before. I hadn't read before that it was

>renamed.

>

>Times that it become excruciating for me is during my menstrual cycle - my

>front muscle goes into such a contraction it feels like a hard menstrual

>cramp and that is how I experience it. Whatever it is it was also

>retraumatised during the birth of my oldest girl when they gave me the shot

>in the middle of a contraction -- it was over a year before that non-stop

>intensity of pain began to slow down. Also 'something' happened to it in a

>cone biopsy procedure; whatever that was caused it to be somehow related to

>my cycles. When I was a kid it was noticed; I was taken to the doctor and I

>recall them talking to my mother about spina bifida and another disorder. I

>was given shoes that were modified for one year only and never taken back to

>the doc. I was constantly reminded not to 'walk like that'; looking back I

>can understand that this is what they were referring to.

>

>I am curious how many people have this sign. Perhaps my docs are looking

>the other way as it is beyond the window of treatment time.