Resisted External Derotation Test | Gluteal Tendinopathy / GTPS

Gluteal Tendinopathy is a condition that falls under the umbrella term Greater trochanteric Pain Syndrome or GTPS which refers to pain and stiffness in the region of the greater trochanter.

According to Lequesne et al. (2008), the resisted external derotation test has a sensitivity of 88% and a specificity of 97,3%.

Despite these promising values, we give it a moderate clinical value as this is the only study examining this test’s diagnostic accuracy in a population of only 17 people.

To perform the test, the patient is asked to actively stretch the hamstring muscles in standing position with the hip flexed at about 90 degrees, the knee fully extended and the foot supported on the treatment bench.

This test is rated positive if the patient’s familiar symptoms are exacerbated

21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE

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Other  orthopedic tests that assess for gluteal tendinopathy are:

• Single Leg Stance Test
• Greater Trochanter Palpation
• FADER / FADER-R / Modified Resisted External Derotation Test
• ADD / ADD-R/ Modified Ober’s Test

References

Lequesne, M., Mathieu, P., Vuillemin‐Bodaghi, V., Bard, H., & Djian, P. (2008). Gluteal tendinopathy in refractory greater trochanter pain syndrome: diagnostic value of two clinical tests. Arthritis Care & Research, 59(2), 241-246.

Ganderton, C., Semciw, A., Cook, J., & Pizzari, T. (2017). Demystifying the clinical diagnosis of greater trochanteric pain syndrome in women. Journal of Women’s Health, 26(6), 633-643.