Trokos

Test library › Hip, groin & thigh

Trendelenburg test/sign

For: Gluteal tendon tear

A partial or full tear of the gluteus medius or minimus tendon on the outside of the hip, causing pain and weakness in holding the pelvis level.

A weak test on its own
Sensitivity73%
Specificity77%
LR+ (positive)3.15
LR− (negative)0.35

What the numbers mean

  • Positive result: a small shift: a positive result nudges the diagnosis up, but does not settle it.
  • Negative result: a small shift: a negative result nudges the diagnosis down, but does not exclude it.

Source

Bird PA, Oakley SP, Shnier R, Kirkham BW. Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome. Arthritis Rheum. 2001;44(9):2138–2145. Journal article (DOI) · single study

Figures as they will appear in Rule It In, Rule It Out (Trokos, forthcoming). If a newer or better study changes them, this page changes with the book. Figures last updated from the book on 2 October 2026.

Get the book for telling the hip joint from the lateral hip, and ruling out the runner's stress fracture first

This page gives the published figures. Rule It In, Rule It Out adds how to do this test, what counts as positive, how to read the result, and, where studied, whether combining it with other tests helps.

Coming in late 2026 as a PDF and a paperback. Join the list to hear when it's out

One study, one test, once a month

Rule It In is a free evidence letter for musculoskeletal clinicians: one recent study explained, one examination test with its real numbers. From Trokos, publisher of Rule It In, Rule It Out.

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