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Trendelenburg’s test is used to detect the presence of hip joint pathology or hip abductor muscle weakness.
With the patient in the standing position, ask them to assume a one-legged stance by standing on the involved side. Normally when the patient stands on one leg, the pelvis on the non-stance side either rises slightly or the pelvis shifts towards the stance side.
The test is positive if the pelvis on the non-stance side drops and the body leans toward the stance side.
This test was originally designed for congenital hip dislocation but today it’s commonly used to assess for a range of conditions including:
• Painful disorders of the hip joint
• Painful disorders of the sacroiliac joint
• Femoral neck fractures
• Avulsion fractures of the greater trochanter
• Hip abductor muscle weakness due to involvement of the superior gluteal nerve or the L4, L5, and S1 nerve roots
• Hip abductor muscle weakness due to coxa vara
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