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… Expand
Greater trochanteric pain syndrome: a review of diagnosis and management in general practice.
  • C. Speers, G. 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 patientsExpand
Greater trochanteric pain syndrome
TLDR
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. Expand
Endoscopic Treatment of Greater Trochanteric Pain Syndrome - A Case Series of 11 Patients
TLDR
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. Expand
Developments for the Greater Trochanteric Pain Syndrome (GTPS)
In this mini-review pathophysiology, diagnosis, management and new treatment options for the greater trochanteric pain syndrome (GTPS) are discussed. GTPS is caused by gluteal tendinopathiesExpand
Greater trochanteric pain syndrome and gluteus medius and minimus tendinosis: nonsurgical treatment.
TLDR
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. Expand
Greater Trochanteric Pain Syndrome: An Intraoperative Endoscopic Classification System with Pearls to Surgical Techniques and Rehabilitation Protocols
TLDR
An endoscopic classification system of GTPS with 5 distinct types is presented, which seems to correlate well with preoperative diagnoses and postoperative rehabilitation protocols, and the corresponding surgical techniques are reproducible for surgeons treating peritrochanteric pathology. Expand
The ambiguity of sciatica as a clinical diagnosis: A case series.
TLDR
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. Expand
Surgery for greater trochanteric pain syndrome after total hip replacement confers a poor outcome
TLDR
Overall poor outcomes, significant complications and concerning reoperation rates were observed, and cases with previous joint replacement were associated with the worst outcomes. Expand
An indirect evaluation between corticosteroid injections and gluteal exercises in the management of pain in greater trochanteric pain syndrome
Abstract Introduction Greater trochanteric pain syndrome (GTPS) is an umbrella term used to describe several pathologies contributing to lateral hip pain. The most prevalent pathology is glutealExpand
Treatment of trochanteric bursitis: our experience
TLDR
Treatment of trochanteric bursitis with a local injection of bicomponent corticosteroid and 2% lidocaine would improve patients’ conditions and relieve pain symptoms in the trokanteric area and for most patients, local injections of Corticosteroids with lidocane alone or followed by physical therapy gave satisfactory results. Expand
...
1
2
3
4
...

References

SHOWING 1-10 OF 69 REFERENCES
Greater Trochanteric Pain Syndrome: A Review of Anatomy, Diagnosis and Treatment
TLDR
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. Expand
Greater Trochanteric Pain Syndrome
TLDR
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. Expand
Greater Trochanteric Pain Syndrome: More than Bursitis and Iliotibial Tract Friction
TLDR
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. Expand
Greater trochanteric pain syndrome in patients referred to orthopedic spine specialists.
TLDR
Accurate recognition of this problem earlier in the evaluation of patients with low back, buttock or lateral thigh symptoms may dramatically reduce costly patient referrals and diagnostic tests and may prevent unwarranted surgery. Expand
Management of the greater trochanteric pain syndrome: a systematic review.
TLDR
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. Expand
Greater trochanteric pain syndrome: epidemiology and associated factors.
TLDR
The higher prevalence of GTPS in women and in adults with ITB pain or knee OA indicates that altered lower-limb biomechanics may be related to GTPS, and slower functional performance in those with GTPS suggests that the study of targeted rehabilitation may be useful. Expand
Trochanteric syndrome; calcareous and noncalcareous tendonitis and bursitis about the trochanter major.
  • M. Leonard
  • Medicine
  • Journal of the American Medical Association
  • 1958
TLDR
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. Expand
Trochanteric Bursitis: Refuting the Myth of Inflammation
TLDR
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. Expand
Correlation of MRI findings with clinical findings of trochanteric pain syndrome
TLDR
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. Expand
Rotator cuff tears of the hip.
  • A. Kagan
  • Medicine
  • Clinical orthopaedics and related research
  • 1999
TLDR
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. Expand
...
1
2
3
4
5
...