The Trendelenburg test, also known as the single-leg independent test, is the patient standing with the lower limbs of the healthy side, actively lifting the affected side of the leg, and then changing to use the lower limb of the affected side to stand and lift the healthy side leg. For the diagnosis of hip dislocation, hip varus deformity, femoral neck fracture.

Basic Information

Specialist Category: Inspection Category: Physical Examination

Applicable gender: whether men and women apply fasting: fasting

Analysis results:

Below normal:

Normal value:
no

Above normal:

negative:
When the healthy leg is standing, the hip fold does not change to negative.

Positive:
When the healthy leg is standing, the affected side has an increased hip wrinkle; when standing with the affected leg, the healthy side of the hip fold is decreased, which is positive.

Tips: When checking, the patient should relax and should actively face it and actively cooperate with the examination. Normal value

The test result is negative: the hip fold does not change when the leg is standing.

Clinical significance

Abnormal results:

The test result is positive, that is, when the healthy leg is standing, the affected side has an increased hip wrinkle; when standing with the affected leg, the healthy side of the hip wrinkle is decreased, which is positive. This test is often positive for hip joint lesions, which can be seen in hip dislocation, hip varus deformity, femoral neck fracture without connection, and gluteal muscle paralysis or weakness.

People who need to be examined: people with leg pain and weakness when standing.

Positive results may be diseases: hip dislocation, congenital hip abduction contracture and pelvic tilt, hip osteoarthritis, hip tuberculosis precautions

Taboo before inspection: no special contraindications.

Requirements for inspection: Check the feelings of relaxation, should face positively, and actively cooperate with the inspection.

Inspection process

The patient takes the standing position, the examiner stands behind the patient, and the paralyzed patient stands on the lower limb of the healthy side, actively raises the affected side leg, and then changes to use the lower limb of the affected side to stand and lift the healthy side leg. When the two lower limbs alternately stand, the examiner observes the rise or fall of the hip fold on one side of the lifted leg.

Not suitable for the crowd

Inappropriate crowd: None.

Adverse reactions and risks

Nothing.