Orthoteers homepage Advertise on Orthoteers
Orthoteers Junior Orthoteers Orthopaedic Biomechanics Orthopaedic World Literature Society Educational Resources Image Gallery About Orthoteers Orthoteers Members search

Gait abnormalities

Normal Walking Requires:

  • Locomotor generator - C.N.S
  • Two legs the same length
  • Joints that are not stiff
  • Power

See Gait Analysis

Causes of Limp (abnormal gait) in Childhood:

Short Leg    Pain (antalgic limp)    Instability of joints    Stiffness of joints   
Muscle weakness   Muscle incoordination    Proprioceptive disturbances    Hysteria

1. Short Leg Limp

  • Difficult to discern at maturity If discrepancy is less than 2cm
  • Limp may be disguised by pelvic tilt, holding ankle of short leg in equinus and hip and knee of long leg in flexion

2. Antalgic Limp

  • Stance phase shortened
  • More gentle heel-strike in painful limb

3. Unstable Hip Limp - Trendelenburg Gait

  • Instability may result from changes in
  • 1. Fulcrum - DDH
  • 2. Lever - short neck
  • 3. Motor - gluteus medius weakness e.g. polio, OP

4. Stiff Hip Gait

  • Increased motion of pelvis on lumbar spine during swing
  • N.B.- limp minimal if hip stiff (fused) in 25o flexion

5. Stiff Knee Gait

  • Pelvis raised during swing phase so heel will clear floor

6. Gluteus Maximus Weakness

  • Hip In hyperextension so centre of gravity behind joint

This is a preview of the site content. To view the full text for this site, you need to log in.
If you are having problems logging in, please refer to the login help page.

© 2005-2007 Orthoteers.co.uk - last updated by Len Funk on 10 February 2005Medical Merketing and SEO by Blue Medical 
Biomet supporting orthoteersThe British Orthopedic Association supporting OrthoteersOrthoteers is a non-profit educational resource. Click here for more details
Lower Limb
Paediatric Spine
Arthritis in Children
Bibliography, Links & Recommended R...
Birth injuries
Cerebral palsy
Cerebral Palsy - Treatment
Childhood Upper extremity problems
Eastwood / Cole Method
Ellis-van Creveld Syndrome
Fracture Principles in Paediatrics
Gait abnormalities
Genetic disorders
Haematopoietic Disorders
Hereditary Sensory & Motor Neur...
Klippel-Feil syndrome
Metabolic disease
Metaphyseal Chondrodysplasia Case
Neuromuscular disorders
Orthopaedic embryology
Orthopaedic infections in children
Orthopaedic infections in children ...
Osteogenisis Imperfecta
Skeletal dysplasias
Hide Menu