[Gait pattern in hip problems : Pathomechanics and clinical relevance]

Gait disturbances are a central sign of underlying hip pathologies in children and adolescents, reflecting muscular insufficiencies, structural deformities, and compensatory strategies. Typical patterns such as Trendelenburg and Duchenne gait exhibit pelvic drop and lateral trunk lean, which can mask functional deficits but may also lead to secondary misloading. Instrumented 3D gait analysis provides objective data on joint angles, muscle activity, and joint loading. Therapy includes long-term physiotherapy, targeted strengthening of the hip abductors, and, if necessary, surgical corrections to optimize leverage and reduce joint stress. Early detection and a differentiated assessment of gait patterns are essential for targeted therapy planning, monitoring progress, and preventing degenerative changes.