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Moreover, one leg stance accounts for about 60% of the gait cycle. Furthermore, during the stance phase of the gait cycle, there is approximately three times the body weight transmitted to the hip joint. [citation needed] The hip abductors' action accounts for two thirds of that body weight. A Trendelenburg sign can occur when there is presence ...
Trendelenburg gait, first described by Friedrich Trendelenburg in 1895, [1] is an abnormal human gait caused by an inability to maintain the pelvis level while standing on one leg. It is caused by weakness or ineffective action of the gluteus medius and gluteus minimus muscles.
Adduction is an anatomical term of motion referring to a movement which brings a part of the anatomy closer to the middle sagittal plane of the body. Upper limb [ edit ]
Adduction – assessed whilst palpating the ipsilateral ASIS. Assessment for a hidden flexion contracture of the hip – hip flexion contractures may be occult, due to compensation by the back. They are assessed by: Placing a hand behind the lumbar region of back; Getting the patient to fully flex the contralateral hip.
The psoas is the primary hip flexor, assisted by the iliacus. The pectineus, the adductors longus, brevis, and magnus, as well as the tensor fasciae latae are also involved in flexion. The gluteus maximus is the main hip extensor, but the inferior portion of the adductor magnus also plays a role. The adductor group is responsible for hip adduction.
The lower part of the muscle also acts as an adductor and external rotator of the limb. The upper fibers act as abductors of the hip joints. The gluteus maximus is a tensor of the fascia lata, and by its connection with the iliotibial band steadies the femur on the articular surfaces of the tibia during standing, when the extensor muscles are ...