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During the stance phase, or when standing on one leg, the weakened abductor muscles (gluteus medius and minimus) on the side of the supporting leg allow the opposite hip to droop. To compensate, the trunk lurches to the weakened side to maintain the center of gravity over the supporting leg. This produces a characteristic "waddling" gait.
The Trendelenburg sign is said to be positive if, when standing on one leg (the 'stance leg'), the pelvis severely drops on the side opposite to the stance leg (the 'swing limb'). The muscle weakness is present on the side of the stance leg. If the patient compensates for this weakness by tilting their trunk/thorax to the affected side, then ...
The gluteal space is defined by anatomic landmarks. A simple way to think of the boundaries is the buttocks, or the tissue anterior to the whole of the gluteus maximus muscle. The specific boundaries (top, bottom, left, right, front, back) are defined as Posterior (back): the gluteus maximus [1]
The piriformis muscle sits over the top of the sciatic nerve, so if the muscle becomes irritated, it can press down on the sciatic nerve and cause glute pain, along with radiating pain down the leg.
Gluteal gait is an abnormal gait caused by neurological problems. If the superior gluteal nerve or obturator nerves are injured, they fail to control the gluteus minimus and medius muscles properly, thus producing an inability to tilt the pelvis upward while swinging the leg forward to walk. To compensate for this loss, the leg swings out ...
Piriformis syndrome is often left undiagnosed and mistaken with other pains due to similar symptoms with back pain, quadriceps pain, lower leg pain, and buttock pain. These symptoms include tenderness, tingling and numbness initiating in low back and buttock area and then radiating down to the thigh and to the leg. [ 72 ]
"Bend your left ear down towards your left shoulder and then your right ear down towards your right shoulder" to test for pain free cervical spine lateral flexion. Now test for stiffness or pain flexing or extending the cervical spine: "bend your neck forwards to try to touch your chin against your chest." "bend your neck back to lift your chin."
The gluteus maximus arises from the posterior gluteal line of the inner upper ilium, and the rough portion of bone including the crest, immediately above and behind it; from the posterior surface of the lower part of the sacrum and the side of the coccyx; from the aponeurosis of the erector spinae (lumbodorsal fascia), the sacrotuberous ligament, and the fascia covering the gluteus medius.
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