Athletic Training & Sports Medicine Center

  

Examination Links:

  • Alphabetical Listing
of Examinations
  • Head
    • Rhombterg
    • Neurological control
 - upper limb
    • Neurological control
 - lower limb
    • Tandem Test
    • Finger-to-nose test
    • Finger-thumb test
    • Hand flip test
    • Finger drumming test
    • Hand-thigh test
    • Past pointing test
    • Heel-to-knee test
    • Proprioceptive Movement
 Test
    • Proprioceptive Space Test
  • Cervical Spine
    • Spurling's Test
    • Distraction
    • Quandrant
    • Tinels' Sign
  • Thoracic Spine
    • Sagittal Plane ROM Test
    • Frontal Plane ROM Test
    • Transverse Plane ROM Test
  • Lumbar Spine
    • Straight Leg Raise Test
    • Sciatic Nerve Palpation Test
    • Bowstring Test
    • Slump Test
  • Shoulder
    • Apley Scratch Test
    • Apprehension Test
    • Relocation Test
    • Anterior Instability Test
    • Anterior/Posterior Translation
 Test
    • Sulcus Sign
    • Posterior G-H Instability Test
    • Inferior Drawer (Feagin) Test
    • Neer Impingement Test
    • Hawkins Kennedy
Impingement Test
    • Empty Can Test
    • Internal Rotation Strength
Test
    • External Rotation Strength
Test
    • Glenoid Labrum Clunk Test
    • Andrews Anterior Instability
Test
    • Anterior Drawer
    • Posterior Drawer
    • Prone Posterior Instability 
Test
    • Push Pull Test
    • Apprehension Test
    • Fulcrum test
    • Jerk Sign or Jahnke Test
    • Load & Shift Test
    • Acromioclavicular Joint
Stability Test
    • Cross Chest 
(Horizontal Adduction) Test
    • Sternoclavicular Joint 
Integrity Test
    • Speed's Test
    • Gilcrest's Palm-Up test
    • Ludington's Test
    • Drop Arm Test
    • Drop Sign
    • External Rotation Lag Sign
    • Internal Rotation Lag Sign
    • Gerber Lift-Off Test
    • O'Brien Test
    • Yergason Test
    • Biceps Load Test I
    • Biceps Load Test II
    • Winging Scapula Test
    • Adson Maneuver
    • Allen Test
    • Roo's Test
    • Halstead's Test
  • Elbow & Radioulnar
    • Valgus Test 00
    • Valgus Test 300
    • Valgus Test 900
    • Miking Sig
    • Cross Arm Valgus
 Stress Test
    • Varus Test 00
    • Varus Test 300
    • Tinel Sign
    • Lateral Compression Test
    • Valgus Extension Overload
    • Cozen Test
    • Mills Test
    • Distal Radioulnar Instability 
Test
  • Wrist
    • Finkelstein's Test
    • Anatomical Snuff Box
Compression Test
    • Phalen's Test or Wrist Press 
Test
    • Tinel Sign
  • Hand & Fingers
    • Murphy's Signr
    • Boutonniere Deformity Test
    • Mallet Finger Test
    • Flexor Digitorum Superficialis
 Test
    • Flexor Digitorum Profundus
 Test
    • Gamekeeper's Thumb Test
    • MCP Radial Collateral 
Ligament Stress Test
    • MCP Ulnar Collateral 
Ligament Stress Test
    • PIP Radial Collateral 
Ligament Stress Test
    • PIP Ulnar Collateral 
Ligament Stress Test
    • DIP Radial Collateral 
Ligament Stress Test
    • DIP Ulnar Collateral 
Ligament Stress Test
    • Bunnel-Littler Test
    • Retinacular Test
    • Allen Test
  • Sacroiliac Joint
    • Ipsilateral Prone Kinetic Test
    • FABER Test
    • Passive Extension & Internal 
Rotation of Ilium on Sacrum
    • Passive Flexion & External 
Rotation of Ilium on Sacrum
    • Passive External Rotation 
of Hip
    • Pelvic Rocking Test
    • Gapping Test
    • Prone Gapping (Hibb's) Test
    • Approximation Test
    • Squish Test
      Sacroiliac Rocking Test
    • Sacral Apex Pressure Test
    • Torsion Stress Test
    • Femoral Shear Test
    • Superoinferior Symphysis
Pubic Stress Test
    • Piedallu's Sign
    • Flamingo Maneuver or Test
    • Gaenslen's Sign
    • Mazion's Pelvic Maneuver
    • Yeoman's Test
    • Sit-up Test
  • Hip & Thigh
    • Scouring (Quandrant) Test
    • FABER Test
    • Trendelenburg Test
    • Craig's Test
    • Torque Test
    • Stinchfield Test
    • Thomas Test
    • Pirifomis Test
    • Sign of the Buttock
    • Ely's Test
    • Hamstring Contracture Test 1
    • Tripod Test
    • 90-90 Straight Leg Test
    • Phelp's Test
  • Knee
    • Gravity Sign
    • Active Posterior/Anterior 
Drawer Test
    • Posterolateral Drawer Test
    • Lachman
      • Tradiional
      • Thigh Assisted
      • Drop Leg
      • Table Side
      • Table End
      • Prone
      • Active
    • Posterolateral Drawer Test
    • Figure 4 Palpation
    • McMurray's Test
    • Apley's Grind Test
    • Lateral Compression Test
    • Medial Compression Test
    • Jerk Test of Hughston
    • Pivot Shift Test
    • External Rotation 
Recurvatum Test
    •  
  • Lower Leg
  • Ankle
  • Foot
    • Morton Test
    •  
  • Range of Motion
  • Goniometry
  • Manual Muscle Testing
  • Reflexes
  • Vital Signs
  • Body Composition

 

Trendelenburg Test
Examination type Muscle weakness
Patient & Body Segment Positioning Patient standing
Examiner Position While standing behind the patient, the examiner’s hands are resting on the top of each iliac crest
Tissues Being Tested Gluteus Medius and Hip Joint
Performing the Test The patient is asked to stand unassisted on each leg in turn. The foot on the contra lateral side is elevated from the floor by bending at the knee.

An alternative approach is to have the patient undertake this maneuver facing the examiner and supported only by the index fingers of the outstretched hands; this accentuates any instability of balance shown during a positive test.
Positive Test The pelvis will sag downwards and to the opposite side
Interpretation The hip abductors are weak; the hip is dislocated; the head of femur has been excised; subluxation or dislocation of the hip; coxa vara; greater trochanter fractures; slipped upper femoral epiphysis; polio; root lesion; post-operative nerve damage; muscle-wasting disease
Common errors in performing exam Having the patient stand on a step or other object; observing the patient from the front instead of the back
Factors possibly resulting in misinterpretation If side of the pelvis naturally sits higher than the other, due to limb length discrepancy.
Related tests Trendelenburg Gait; Sign of the Buttock Test; Single-leg Squat Test
References

Special Test for Orthopedic Examination. 2nd Ed. Pp. 200-202.

Athletic Injury Assessment. 4th Ed. Pp.379

Physical Examination of the Spine and Extremities. 1st Ed. Pp. 164

Orthopedic Physical Assessment. 4th Ed. Pp.491, 592.      

Marshall. “The Hip #2.” Patient Care. Vol. 13. Iss. 1. Pp. S1. January 2002.
Links:

http://www.qmseminars.co.nz/PDF/CampbellEponym.pdf

http://www.dartmouth.edu/~anatomy/hip/hip%20clin%20correl/corr6.html

http://www.worldortho.com/database/exam-orth/eo148.html

http://www.gpnotebook.co.uk/cache/1798635535.htm
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