Duchenne and Trendelenburg Tests


The purpose of these tests is to examine the stability of the hip. In other words, can the abductors stabilise the pelvis on the femur?



Procedure

  • Stand about 2 to 3 metres behind the patient.
  • Ask the patient to lift up one leg (90° flexion in hip and knee) [Figure 43].
  • Note:
    • Whether the torso tilts over the weight bearing leg (Duchenne sign).
    • Whether the pelvis sinks contra-laterally with respect to the weight baring leg (Trendelenburg sign). Determine this on the basis of the position of both posterior superior iliac spines.

Figure 43


 

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