Resisted Internal Rotation Test of the Hip

Other Names

• Resisted Internal Rotation Test Hip

---

Purpose

Demonstration of the resisted internal rotation test of the hip

• Evaluate the gluteal muscles as a cause of hip pain

---

Description

• The patient is supine
• Affected limb has hip, knee flexed to 90°, add 10° hip external rotation
• The patient then attempts to internally rotate the hip against resistance
• Positive test
  • Pain or weakness

---

Pathology

• Greater Trochanteric Pain Syndrome
• Gluteus Medius Tear

---

Evidence

Gluteus Medius Tear

• Ortiz-Declet et al looking at Gluteus Medius Tears
  • Sensitivity: 92%
  • Specificity: 85%
  • PPV: 85%
  • NPV: 92%
  • Diagnostic Accuracy: 88%

---

See Also

• Physical Exam Hip
• Hip Pain (Main)

---