History beats imaging for Trendelenburg's sign

History-taking, rather than imaging, leads to a clearer picture in this case study.

Vicki, 62 years old, has persistent right buttock pain present for six years. It interferes with sleeping on her right side, squatting and standing up from a low chair.

She experiences pain when ascending stairs and limps towards the end of the day. Her daughter mentions she has been lurching when walking for several years.

Her past history includes obesity (BMI 34.6), type 2 diabetes, hypertension and hyperlipidaemia.

Physical examination reveals she walks with a Trendelenburg's gait, has a positive Trendelenburg's sign on right