Sign of the buttock | Proximal Hamstring Tendinopathy Assessment

The sign of the buttock can be used as a test to assess for proximal hamstring tendinopathy. Originally, it was used as a screening tool.
Originally, the sign was used as a screening tool to assess for ischial bursitis, neoplasm and abcess.

To perform this test, first, perform a straight leg raise. As soon as the straight leg raise is limited, flex the patient’s knee and see if you can further increase hip flexion.

If this is not the case, then we are talking about a positive sign of the buttock, which is an indication for ischial bursitis, neoplasms, abscess in the buttock, or pathology of the hip.

In case the patient reports pain with further flexion, your patient might be suffering from proximal hamstring tendinopathy.

Other  orthopedic tests that assess for proximal hamstring tendinopathy are:

• Bent Knee Stretch Test
• Modified Bent Knee Stretch Test
• Puranen-Orava Test

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