Assume an interior sphere condition at , and assume the coefficients are bounded and the principal part defines a uniformly elliptic operator near its tangent Euclidean ball. Shrinking the Euclidean ball while keeping it tangent if necessary, arrange that . Write , the outward radial direction. The conclusion of the Hopf boundary point lemma in the regularity stated in the question is
If the one-sided normal derivative exists, this says . For a boundary its outward normal agrees with the tangent Euclidean ball's radial normal. Continuity alone does not guarantee that the derivative exists, so its existence must be added when asserting a finite derivative.
On the annulus , use the barrier
The operator has no zeroth-order term, and differentiation gives
for sufficiently large : the quadratic-in- term is at least , while the remaining terms are bounded multiples of .
On the inner sphere, compactness and strict inequality give a positive minimum of . Choose small enough that there. The same inequality holds on the outer sphere since . The weak maximum principle for elliptic operators yields throughout the annulus. Along the inward radius,
This proves the lemma. The interior sphere condition supplies precisely the geometry needed for the barrier; no global boundary regularity is used.

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