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Abnormal Gait in Children

Aka: Abnormal Gait in Children, Nonantalgic Gait in Children, Steppage Gait, Trendelenburg Gait, Circumduction Gait, Equinus Gait
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  1. See Also
    1. Abnormal Gait
    2. Gait Evaluation in Children
    3. Pediatric Limp
  2. Types: Abnormal
    1. Steppage Gait
      1. Cause: Neurologic deficit interferes with foot dorsiflexion
      2. Hip and Knee Joints are flexed excessively during swing phase (allows toes to clear ground)
    2. Trendelenburg Gait
      1. Cause: Developmental dysplasia of hip interferes with hip abduction
      2. Tests: Trandelenburg Test is positive
      3. Pelvis tilts downward toward the unaffected side during the swing phase
    3. Circumduction Gait
      1. Causes
        1. Limb-length discrepancy (Galeazzi Sign positive)
        2. Knee or ankle stiffness due to underlying neurologic or mechanical disorder
      2. Appearance
        1. Stance phase: Knee is hyperextended and locked
        2. Swing phase: Affected leg is abducted or circumducted
    4. Equinus Gait
      1. Causes
        1. Cerebral Palsy
        2. Achilles tendon tight
        3. Calcaneal Fracture
        4. Foot foreign body
        5. Limb-length discrepancy
      2. Appearance
        1. Toe walking

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