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There is a need for an accurate and evidence\u2010based physical examination maneuver to aid in earlier diagnosis of gluteal tendon tears and timely intervention in these patients. Most studies evaluating gluteal tendinopathy fail to assess surgical indications and instead focus on identifying trochanteric bursitis, which may or may not require surgical treatment. The modified resisted internal rotation test has been used in our practice to detect gluteus medius tendon tears in the recalcitrant GTPS patient population. Fundamental anatomic, biomechanical, electromyographic, and clinical data have been reviewed to make this an evidence\u2010based clinical test for early detection of this pathology.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Technique Video<\/jats:title>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"video\" position=\"anchor\">\n                        <jats:graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" position=\"anchor\" xlink:href=\"urn:x-wiley:22126287:media:atn2bf03679:atn2bf03679-vimg-mmc1\">\n                          <jats:alt-text>video<\/jats:alt-text>\n                        <\/jats:graphic>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                    <jats:p>\n                      <jats:bold>See video under supplementary data.<\/jats:bold>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.eats.2018.11.006","type":"journal-article","created":{"date-parts":[[2019,2,25]],"date-time":"2019-02-25T04:44:20Z","timestamp":1551069860000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":21,"title":["The Modified Resisted Internal Rotation Test for Detection of Gluteal Tendon Tears"],"prefix":"10.1002","volume":"8","author":[{"given":"Rafael","family":"Walker\u2010Santiago","sequence":"first","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Ortiz\u2010Declet","sequence":"additional","affiliation":[{"name":"Kayal Orthopaedic Center, P.C. Franklin Lakes New Jersey U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David R.","family":"Maldonado","sequence":"additional","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia M.","family":"Wojnowski","sequence":"additional","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin G.","family":"Domb","sequence":"additional","affiliation":[{"name":"American Hip Institute Westmont Illinois U.S.A."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,2,25]]},"reference":[{"key":"e_1_2_2_2_1","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-14-00406"},{"key":"e_1_2_2_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.23354"},{"key":"e_1_2_2_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2016.5889"},{"key":"e_1_2_2_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.22248"},{"key":"e_1_2_2_6_1","first-page":"179","article-title":"The functional anatomy of tensor fasciae latae and gluteus medius and minimus","volume":"166","author":"Gottschalk F.","year":"1989","journal-title":"J\u00a0Anat"},{"key":"e_1_2_2_7_1","doi-asserted-by":"publisher","DOI":"10.7863\/ultra.16.03073"},{"key":"e_1_2_2_8_1","doi-asserted-by":"publisher","DOI":"10.2217\/pmt-2017-0033"},{"key":"e_1_2_2_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/1529-0131(200109)44:9<2138::AID-ART367>3.0.CO;2-M"},{"key":"e_1_2_2_10_1","first-page":"23","article-title":"Comparison between the different hip rotation positions on hip abduction exercise","volume":"5","author":"Elerian A.E.","year":"2016","journal-title":"Int J Ther Rehabil Res"},{"key":"e_1_2_2_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jelekin.2014.01.008"},{"key":"e_1_2_2_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2007.11.015"},{"key":"e_1_2_2_13_1","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2010.3302"},{"key":"e_1_2_2_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.12942"}],"container-title":["Arthroscopy Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628718301956?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2212628718301956?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2018.11.006","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1016\/j.eats.2018.11.006","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.eats.2018.11.006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T20:06:26Z","timestamp":1775678786000},"score":1,"resource":{"primary":{"URL":"https:\/\/arthroscopyjournals.onlinelibrary.wiley.com\/doi\/10.1016\/j.eats.2018.11.006"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,2,25]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,3]]}},"alternative-id":["10.1016\/j.eats.2018.11.006"],"URL":"https:\/\/doi.org\/10.1016\/j.eats.2018.11.006","archive":["Portico"],"relation":{},"ISSN":["2212-6287","2212-6287"],"issn-type":[{"value":"2212-6287","type":"print"},{"value":"2212-6287","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,2,25]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Modified Resisted Internal Rotation Test for Detection of Gluteal Tendon Tears","name":"articletitle","label":"Article Title"},{"value":"Arthroscopy Techniques","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.eats.2018.11.006","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 by the Arthroscopy Association of North America. 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