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306 pages added, reviewed or updated during the last month (last updated: 27/11/2020)


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trochanteric bursitis

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Greater trochanteric pain syndrome (GTPS) is defined as localised lateral hip pain with focal point tenderness to palpation over the greater trochanter with the patient in the side-lying position (1,2).

GTPS has for many years been clinically diagnosed as trochanteric bursitis. However several features have been observed which lead to a conclusion that the diagnosis of trochanteric bursitis may be inappropriate (1).

  • three of the four cardinal signs of inflammation: calor, rubor, and oedema are uncommon in GTPS and only pain is a feature
  • advanced imaging and surgical findings in patients with localised lateral hip pain have reported the following disorders with no real bursal involvement
    • incomplete tearing or avulsion of the anterior aspect of the gluteus medius and gluteus minimus tendons
    • external coxa saltans (snapping hip)
    • enthesiopathy
  • radiological findings for patients with GTPS report variable incidence, with bursitis incidence ranging from 4% to 46% and gluteal tendinopathy ranging from 18% to 50% (1,2,3)

For these reasons, clinical condition involving pain at or around the greater trochanter has been known by the vaguer term 'greater trochanteric pain syndrome' (GTP) (1).

Predisposing factors include: abnormal hip biomechanics due to abnormal force vectors acting across the hip, age, gender, ipsilateral iliotibial band (ITB) pain, knee osteoarthritis, obesity, low back pain and specific sporting activities (3)

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Last edited 04/2018

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