For citation purposes: Haviv B. Update on trochanteric bursitis of the hip. OA Orthopaedics 2013 Jul 13;1(1):10.

Review

 
Diagnosis & Treatment

Update on trochanteric bursitis of the hip

B Haviv
 

Authors affiliations

Arthroscopy and Sports Injuries Unit, Hasharon Hospital, Rabin Medical Center, Petach-Tikva, Israel

Orthopedic Department, Sackler Faculty of Medicine, Tel-Aviv University, Israely

* Corresponding author Email: barak_haviv69@hotmail.com

Abstract

Introduction

Proximal lateral thigh pain is a common musculoskeletal complaint. Tenderness at the femoral greater trochanteric area is often diagnosed as trochanteric bursitis. This term is probably a misnomer because of evident non-inflammatory pathologies, particularly of the abductor tendons of the hip and is currently referred as the greater trochanteric pain syndrome. Although the clinical presentation seems straightforward it is important to differentiate this extra-articular source from an intra-articular or a lower back source of pain. Non-traumatic acute pain does not require the use of imaging modalities. Imaging of the lower spine and pelvis should be ordered in cases of prolonged pain or uncertain diagnosis. Non-operative treatment that involves modifying activities, physiotherapy, analgesics, steroid injections and shock wave therapy is usually helpful. Nevertheless, despite the above treatments about one-third of the patients suffer from chronic pain and disability. These patients may be candidates for operative intervention such as local decompression, bursectomy and suture of torn tendons. The aim of this review was to discuss trochanteric bursitis of the hip.

Conclusion

The differential diagnosis for greater trochanteric pain syndrome includes pathologies around the hip and lower back. Usually non-operative treatment that includes modified activity, physiotherapy, local injections and shock wave therapy is helpful.

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