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mal procedures alone. Gluteal tendinopathy is commonly reported in the literature, but there is a need for a validated magnetic resonance imaging (MRI)-based scoring system to grade the severity of the tendinopathy. To use intra- and interobserver reliability to validate a new scoring system, the Melbourne Hip MRI (MHIP) score, for assessing the severity of gluteal tendinopathy. Cohort study (diagnosis); Level of evidence, 3. The MHIP score assesses gluteal tendinopathy according to each 1 of 5 categories (1) extent of tendon pathology (