Overview
What is trochanteric bursitis, and what are its associated conditions?
How is pain due to trochanteric bursitis characterized?
How are musculoskeletal exams used in the evaluation of trochanteric bursitis?
What is the role of imaging studies in the workup of trochanteric bursitis?
How is trochanteric bursitis treated?
What is the pathogenesis of trochanteric bursitis?
What is greater trochanteric pain syndrome (GTPS)?
What other types of bursa-related pain occur in the area affected by trochanteric bursitis?
What causes trochanteric bursitis?
Which conditions predispose patients to trochanteric bursitis?
Which neuropeptide is elevated in patients with trochanteric bursitis?
What is the relationship between trochanteric bursitis and femoroacetabular impingement (FAI)?
What is the epidemiology of trochanteric bursitis?
What is the mortality and morbidity of trochanteric bursitis?
How does trochanteric bursitis progress?
What information should be provided to patients with trochanteric bursitis?
Presentation
What is the classic physical finding in trochanteric bursitis?
How is pain evaluated in the physical exam for trochanteric bursitis?
What are the complications of trochanteric bursitis?
DDX
What are the diagnostic considerations in trochanteric bursitis?
What are the differential diagnoses for Trochanteric Bursitis?
Workup
What are the approach considerations in the workup of trochanteric bursitis?
What is the role of plain radiography in the workup of trochanteric bursitis?
What is the role of bone scanning, CT scanning, and MRI in the workup of trochanteric bursitis?
How effective is MRI in the diagnosis of trochanteric bursitis?
Treatment
What is the treatment for trochanteric bursitis?
When are special considerations warranted in the treatment of trochanteric bursitis?
What are the treatment options for trochanteric bursitis?
Is endoscopic surgery an effective treatment approach for trochanteric bursitis?
When is surgery indicated in the treatment of trochanteric bursitis?
Is endoscopic debridement an effective treatment for trochanteric bursitis?
What activity restrictions are indicated in the treatment of trochanteric bursitis?
What are the criteria for return to play in athletes with trochanteric bursitis?
What are preventive measures for patients treated for trochanteric bursitis?
What long-term monitoring is indicated in the treatment of trochanteric bursitis?
What is the role of physical therapy in the treatment of trochanteric bursitis?
What are the benefits of a home exercise program in patients with trochanteric bursitis?
How effective are corticosteroid injections as treatment for trochanteric bursitis?
How is a corticosteroid injection for the treatment of trochanteric bursitis performed?
How effective are corticosteroid injections as treatment for trochanteric bursitis?
How effective is extracorporeal shock wave therapy as treatment for trochanteric bursitis?
Medications
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Tr B = trochanteric bursa; G Med B = subgluteus medius bursa; G Min B = subgluteus minimus bursa.
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Photo demonstrates method of stretching iliotibial band (ITB) in standing position. One foot is crossed over other, and patient leans away from side being stretched. Exercise is performed by allowing side that will be stretched to lean in toward wall. Patient should feel stretch at lateral aspect of hip that is closest to wall. Stretching should be done in controlled, sustained manner, never a ballistic manner with sudden jerking movements.
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Photo demonstrates method of stretching iliotibial band (ITB) in supine position. Foot ipsilateral to stretch is crossed over contralateral knee. Next, thigh ipsilateral to stretch is pulled across midline (adduction). Patient should feel stretch at lateral aspect of hip, in area shown by dark line. Stretching should be done in controlled, sustained manner, never in ballistic manner with sudden jerking movements.