Imaging and management of greater trochanteric pain syndrome

  title={Imaging and management of greater trochanteric pain syndrome},
  author={Rajat Chowdhury and Sahar Naaseri and Justin Charles Lee and Gajan Rajeswaran},
  journal={Postgraduate Medical Journal},
  pages={576 - 581}
Greater trochanteric pain syndrome (GTPS) is a commonly diagnosed regional pain syndrome with a wide spectrum of aetiologies, reflecting the anatomy of the structures outside the hip joint capsule. There are five muscle tendons that insert on to the greater trochanter and three bursae in the region of the greater trochanter. The term GTPS includes tendinopathies, tendinous tears, bursal inflammation and effusion. There are a range of treatments and therapies depending on the specific diagnosis… 

Greater trochanteric pain syndrome: a simplified MRI approach

MRI should be utilized in a simple systemized approach by MSK radiologist in order not to miss a finding that may influence the surgical outcome of the patient presenting with GTPS.

Greater trochanteric pain syndrome: a review of diagnosis and management in general practice.

  • C. SpeersG. Bhogal
  • Medicine
    The British journal of general practice : the journal of the Royal College of General Practitioners
  • 2017
Greater trochanteric pain syndrome (GTPS) is a common cause of lateral hip pain, seen more commonly in females between the ages of 40 and 60.1,2 GTPS is the cause of hip pain in 10–20% of patients

Greater trochanteric pain syndrome

Evidence for the efficacy and duration of action of corticosteroid injection therapy and the role of imaging techniques in the diagnosis and management of GTPS are reviewed, including the ability to identify pathology and predict treatment response.

Endoscopic Treatment of Greater Trochanteric Pain Syndrome - A Case Series of 11 Patients

Endoscopic release of the ITB and bursectomy at the level of the greater trochanter appears to be an effective and safe procedure when conservative treatment options for GTPS have failed.

Developments for the Greater Trochanteric Pain Syndrome (GTPS)

There is no hard evidence for the use of hyaluronic acid (HA), platelet-rich plasma (PRP) in patients with GTPS, and the best treatment is unknown.

Greater trochanteric pain syndrome and gluteus medius and minimus tendinosis: nonsurgical treatment.

A graded treatment schedule for patients with GTPS is proposed, which includes infiltrations with corticosteroids and shockwave therapy, and a wide variety of conservative treatment options.

Tendinopathies of the hip and pelvis in athletes: A narrative review

This narrative literature review aims to summarize current understanding and areas of ongoing research about the clinical features, diagnostic keys and therapeutic options of the main clinical tendinopathies surrounding hip and pelvis.

Greater Trochanteric Pain Syndrome (Gtps) In Geriatric Patients: A Case Report

An 84-year-old, community-dwelling woman, hospitalised for exacerbation of low back pain, irradiating to the right hip, knee, and foot is described, successfully treated by physical therapy, focusing on positioning and muscle strengthening, combined with pain relieve.

The ambiguity of sciatica as a clinical diagnosis: A case series.

Multidisciplinary care including chiropractic may add value in settings where patients with lower back and leg pain are treated, and may lessen demands of primary care with respect to spinal complaints, while simultaneously improving patient outcomes.



Greater Trochanteric Pain Syndrome: A Review of Anatomy, Diagnosis and Treatment

Most cases of GTPS are self-limited with conservative measures, such as physical therapy, weight loss, nonsteroidal antiinflammatory drugs and behavior modification, providing resolution of symptoms, and more invasive surgical interventions have anecdotally been reported to provide pain relief when conservative treatment modalities fail.

Greater Trochanteric Pain Syndrome

The present understanding of the lesions that comprise GTPS is reviewed, discussing the relevant anatomy, diagnostic workup and recommended treatment for trochanteric bursitis, gluteus medius and minimus tears, and external coxa saltans.

Greater Trochanteric Pain Syndrome: More than Bursitis and Iliotibial Tract Friction

By understanding the anatomy of the peritrochanteric structures, and the pathologic processes most likely responsible for symptomatology and dysfunction, the physician will be prepared to provide effective long-term solutions for this common problem.

Greater trochanteric pain syndrome in patients referred to orthopedic spine specialists.

Management of the greater trochanteric pain syndrome: a systematic review.

The effectiveness of the various treatment modalities needs to be tested in carefully conducted randomized controlled trials to confirm the general validity of the findings reported.

Greater trochanteric pain syndrome: epidemiology and associated factors.

Trochanteric syndrome; calcareous and noncalcareous tendonitis and bursitis about the trochanter major.

  • M. Leonard
  • Medicine
    Journal of the American Medical Association
  • 1958
The trochanteric syndrome frequently masquerades as sciatica, a symptom pattern analogous to the so-called bursitis of the shoulder, andendonitis, tenosynovitis, and bursesitis about the glenohumeral joint are well known to the profession.

Trochanteric Bursitis: Refuting the Myth of Inflammation

The results of this small prospective observational histologic study, along with recent MRI and ultrasound studies on the topic, strongly suggest that there is no etiologic role of bursal inflammation in the trochanteric pain syndrome.

Correlation of MRI findings with clinical findings of trochanteric pain syndrome

Although the absence of peritrochanteric T2 MR abnormalities makes trokanteric pain syndrome unlikely, detection of these abnormalities on MRI is a poor predictor of trochanteri pain syndrome as these findings are present in a high percentage of patients without trochanTERic pain.

Rotator cuff tears of the hip.

  • A. Kagan
  • Medicine
    Clinical orthopaedics and related research
  • 1999
In the management of seven patients with increasing hip pain, an unusual finding was encountered: partial tear of the gluteus medius tendon at its attachment to the greater trochanter, and disrupted tendons were reattached to bone with heavy nonabsorbable suture.