The Modified Resisted Internal Rotation Test for Detection of Gluteal Tendon Tears

The Modified Resisted Internal Rotation Test for Detection of Gluteal Tendon Tears

Authors

Walker-Santiago R, Ortiz-Declet V, Maldonado DR, Wojnowski NM, Domb BG
DOI: 10.1016/j.eats.2018.11.006

Background

Greater trochanteric pain syndrome (GTPS) is a common condition, often resulting from hip bursitis. However, some patients may have a gluteal tendon tear, which can cause ongoing pain and require surgery. There is a need for an accurate physical exam test to detect these tears early.

Methods

The study reviewed evidence to develop the modified resisted internal rotation test, a clinical test to detect gluteal tendon tears in patients with persistent GTPS symptoms.

Key Findings

The modified resisted internal rotation test was found to be an effective tool in identifying gluteal tendon tears, offering a quicker and more accurate diagnosis for patients with recalcitrant GTPS.

Conclusions

This test could lead to earlier diagnosis and intervention for patients with gluteal tendon tears, improving outcomes by preventing unnecessary delays in treatment.

What Does This Mean for Patients

If you're experiencing persistent hip pain that doesn’t respond to usual treatments for GTPS, this new test could help identify a gluteal tendon tear, leading to more appropriate and timely treatments.