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Explain Trendelenburg's sign, including the muscles involved, their innervation, and the resulting gait.
Biology
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- Trendelenburg's sign occurs when the gluteus medius and gluteus minimus muscles of one side are paralyzed.
- These muscles, normally innervated by the superior gluteal nerve, are responsible for preventing the unsupported side of the pelvis from sagging during walking, thus maintaining a horizontal pelvic level.
- When these muscles are paralyzed, the pelvis sags on the healthy, unsupported side when the foot on that side is off the ground.
- This results in a characteristic lurching gait.
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