Imaging and management of greater trochanteric pain syndrome

@article{Chowdhury2014ImagingAM,
  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},
  year={2014},
  volume={90},
  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… 

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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.

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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.

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    Journal of the American Medical Association
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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.

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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.
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