Trochanteric Bursitis Questions & Answers

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10. Furia JP, Rompe JD, Maffulli N. Low-energy extracorporeal shock wave therapy as a treatment for greater trochanteric pain syndrome. Am J Sports Med. 2009 Sep. 37(9):1806-13. [QxMD MEDLINE Link].

11. Lustenberger DP, Ng VY, Best TM, Ellis TJ. Efficacy of treatment of trochanteric bursitis: a systematic review. Clin J Sport Med. 2011 Sep. 21(5):447-53. [QxMD MEDLINE Link].

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15. Canetti R, de Saint Vincent B, Vieira TD, Fiere V, Thaunat M. Spinopelvic parameters in greater trochanteric pain syndrome: a retrospective case-control study. Skeletal Radiol. 2020 May. 49 (5):773-8. [QxMD MEDLINE Link].

16. Williams BS, Cohen SP. Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg. 2009 May. 108(5):1662-70. [QxMD MEDLINE Link].

17. McGee DJ. Hip. Orthopedic Physical Assessment. 2nd ed. Philadelphia, Pa: WB Saunders; 1992. 333-71.

18. Tibor LM, Sekiya JK. Differential diagnosis of pain around the hip joint. Arthroscopy. 2008 Dec. 24(12):1407-21. [QxMD MEDLINE Link].

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20. Clarke MT, Lee PT, Arora A, et al. Levels of metal ions after small- and large-diameter metal-on-metal hip arthroplasty. J Bone Joint Surg Br. 2003 Aug. 85(6):913-7. [QxMD MEDLINE Link].

21. Farmer KW, Jones LC, Brownson KE, et al. Trochanteric bursitis after total hip arthroplasty incidence and evaluation of response to treatment. J Arthroplasty. 2009 Mar 3. [QxMD MEDLINE Link].

22. Clarke MT, Arora A, Villar RN. Hip arthroscopy: complications in 1054 cases. Clin Orthop Relat Res. 2003 Jan. 84-8. [QxMD MEDLINE Link].

23. Fearon AM, Twin J, Dahlstrom JE, et al. Increased substance P expression in the trochanteric bursa of patients with greater trochanteric pain syndrome. Rheumatol Int. 2014 Oct. 34(10):1441-8. [QxMD MEDLINE Link].

24. Vap AR, Mitchell JJ, Briggs KK, McNamara SC, Philippon MJ. Outcomes of Arthroscopic Management of Trochanteric Bursitis in Patients With Femoroacetabular Impingement: A Comparison of Two Matched Patient Groups. Arthroscopy. 2018 Jan 27. [QxMD MEDLINE Link].

25. Segal NA, Felson DT, Torner JC, et al. Greater trochanteric pain syndrome: epidemiology and associated factors. Arch Phys Med Rehabil. 2007 Aug. 88(8):988-92. [QxMD MEDLINE Link].

26. Lievense A, Bierma-Zeinstra S, Schouten B, et al. Prognosis of trochanteric pain in primary care. Br J Gen Pract. 2005 Mar. 55(512):199-204. [QxMD MEDLINE Link]. [Full Text].

27. Fearon AM, Cook JL, Scarvell JM, et al. Greater trochanteric pain syndrome negatively affects work, physical activity and quality of life: a case control study. J Arthroplasty. 2014 Feb. 29(2):383-6. [QxMD MEDLINE Link].

28. Dzidzishvili L, Parron Cambero R, Mahillo Fernandez I, Llanos Jimenez L. Prognostic factors of trochanteric bursitis in surgical-staged patients: a prospective study. Hip Int. 2021 Jan 11. 1120700020986136. [QxMD MEDLINE Link].

29. Robertson-Waters E, Berstock JR, Whitehouse MR, Blom AW. Surgery for greater trochanteric pain syndrome after total hip replacement confers a poor outcome. Int Orthop. 2018 Jan. 42 (1):77-85. [QxMD MEDLINE Link].

30. Plinsinga ML, Coombes BK, Mellor R, Vicenzino B. Individuals with Persistent Greater Trochanteric Pain Syndrome Exhibit Impaired Pain Modulation, as well as Poorer Physical and Psychological Health, Compared with Pain-Free Individuals: A Cross-Sectional Study. Pain Med. 2020 Mar 31. [QxMD MEDLINE Link].

31. Ganderton C, Semciw A, Cook J, Pizzari T. Demystifying the Clinical Diagnosis of Greater Trochanteric Pain Syndrome in Women. J Womens Health (Larchmt). 2017 Jun. 26 (6):633-43. [QxMD MEDLINE Link].

32. Hofmeister E, Engelhardt S. Necrotizing fasciitis as complication of injection into greater trochanteric bursa. Am J Orthop. 2001 May. 30(5):426-7. [QxMD MEDLINE Link].

33. Bertoli AM, Saurit V, Alvarellos A, et al. Soft tissue metastases presenting as greater trochanteric pain syndrome. J Clin Rheumatol. 2003 Dec. 9(6):370-2. [QxMD MEDLINE Link].

34. Fearon AM, Scarvell JM, Cook JL, Smith PN. Does ultrasound correlate with surgical or histologic findings in greater trochanteric pain syndrome? A pilot study. Clin Orthop Relat Res. 2010 Jul. 468(7):1838-44. [QxMD MEDLINE Link]. [Full Text].

35. Kong A, Van der Vliet A, Zadow S. MRI and US of gluteal tendinopathy in greater trochanteric pain syndrome. Eur Radiol. 2007 Jul. 17(7):1772-83. [QxMD MEDLINE Link].

36. Blankenbaker DG, Ullrick SR, Davis KW, et al. Correlation of MRI findings with clinical findings of trochanteric pain syndrome. Skeletal Radiol. 2008 Oct. 37(10):903-9. [QxMD MEDLINE Link].

37. McMahon SE, Smith TO, Hing CB. A Systematic Review of Imaging Modalities in the Diagnosis of Greater Trochanteric Pain Syndrome. Musculoskeletal Care. 2012 Jul 4. [QxMD MEDLINE Link].

38. Fundamentals of procedural care. Lennard TA, ed. Physiatric Procedures in Clinical Practice. Philadelphia, Pa: Hanley & Belfus; 1995. 1-13.

39. Baker CL Jr, Massie RV, Hurt WG, et al. Arthroscopic bursectomy for recalcitrant trochanteric bursitis. Arthroscopy. 2007 Aug. 23(8):827-32. [QxMD MEDLINE Link].

40. Farr D, Selesnick H, Janecki C, et al. Arthroscopic bursectomy with concomitant iliotibial band release for the treatment of recalcitrant trochanteric bursitis. Arthroscopy. 2007 Aug. 23(8):905.e1-5. [QxMD MEDLINE Link].

41. Voos JE, Rudzki JR, Shindle MK, et al. Arthroscopic anatomy and surgical techniques for peritrochanteric space disorders in the hip. Arthroscopy. 2007 Nov. 23(11):1246.e1-5. [QxMD MEDLINE Link].

42. Domínguez A, Seijas R, Ares O, et al. Clinical outcomes of trochanteric syndrome endoscopically treated. Arch Orthop Trauma Surg. 2015 Jan. 135(1):89-94. [QxMD MEDLINE Link].

43. Crutchfield CR, Padaki AS, Holuba KS, et al. Open Versus Arthroscopic Surgical Management for Recalcitrant Trochanteric Bursitis: A Systematic Review. Iowa Orthop J. 2021 Dec. 41 (2):45-57. [QxMD MEDLINE Link]. [Full Text].

44. Coulomb R, Essig J, Mares O, Asencio G, Kouyoumdjian P, May O. Clinical results of endoscopic treatment without repair for partial thickness gluteal tears. Orthop Traumatol Surg Res. 2016 May. 102 (3):391-5. [QxMD MEDLINE Link].

45. Olsen NK, Press JM, Young JL. Bursal injections. Lennard TA, ed. Physiatric Procedures in Clinical Practice. Philadelphia, Pa: Hanley & Belfus; 1995. 36-43.

46. Injection and corticosteroids. Snider RK, ed. Essentials of Musculoskeletal Care. Rosemont, Ill: American Academy of Orthopaedic Surgeons; 1997. 37-9.

47. Cohen SP, Strassels SA, Foster L, et al. Comparison of fluoroscopically guided and blind corticosteroid injections for greater trochanteric pain syndrome: multicentre randomised controlled trial. BMJ. 2009 Apr 14. 338:b1088. [QxMD MEDLINE Link]. [Full Text].

48. Brinks A, van Rijn RM, Willemsen SP, Bohnen AM, Verhaar JA, Koes BW, et al. Corticosteroid injections for greater trochanteric pain syndrome: a randomized controlled trial in primary care. Ann Fam Med. 2011 May-Jun. 9(3):226-34. [QxMD MEDLINE Link]. [Full Text].

49. Bolton WS, Kidanu D, Dube B, Grainger AJ, Rowbotham E, Robinson P. Do ultrasound guided trochanteric bursa injections of corticosteroid for greater trochanteric pain syndrome provide sustained benefit and are imaging features associated with treatment response?. Clin Radiol. 2018 May. 73 (5):505.e9-e15. [QxMD MEDLINE Link].

50. Shbeeb MI, O'Duffy JD, Michet CJ, et al. Evaluation of glucocorticosteroid injection for the treatment of trochanteric bursitis. J Rheumatol. 1996 Dec. 23(12):2104-6. [QxMD MEDLINE Link].

51. Cohen SP, Narvaez JC, Lebovits AH, et al. Corticosteroid injections for trochanteric bursitis: is fluoroscopy necessary? A pilot study. Br J Anaesth. 2005 Jan. 94(1):100-6. [QxMD MEDLINE Link]. [Full Text].

52. Habib G, Elias S, Abu-Elhaija M, et al. The effect of local injection of methylprednisolone acetate on the hypothalamic-pituitary-adrenal axis among patients with greater trochanteric pain syndrome. Clin Rheumatol. 2016 Dec 24. [QxMD MEDLINE Link].

53. Park KD, Lee WY, Lee J, Park MH, Ahn JK, Park Y. Factors Associated with the Outcome of Ultrasound-Guided Trochanteric Bursa Injection in Greater Trochanteric Pain Syndrome: A Retrospective Cohort Study. Pain Physician. 2016 May. 19 (4):E547-57. [QxMD MEDLINE Link].

54. Vannet N, Ferran N, Thomas A, Ghandour A, O’Doherty A. The use of shockwave therapy in the treatment of trochanteric bursitis. J Bone Joint Surg Br Proceedings. 2010/07. 92-B:393. [Full Text].

55. Rompe JD, Segal NA, Cacchio A, Furia JP, Morral A, Maffulli N. Home training, local corticosteroid injection, or radial shock wave therapy for greater trochanter pain syndrome. Am J Sports Med. 2009 Oct. 37(10):1981-90. [QxMD MEDLINE Link].

Douglas D Dean, DO Resident Physician, Department of Physical Medicine and Rehabilitation, Eastern Virginia Medical School

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Peter G Gonzalez, MD Orthopaedic Institute of Central Jersey

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Ryan O Stephenson, DO is a member of the following medical societies: American Academy of Physical Medicine and Rehabilitation, American Association of Neuromuscular and Electrodiagnostic Medicine, Association of Academic Physiatrists

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Michael T Andary, MD, MS Professor, Residency Program Director, Department of Physical Medicine and Rehabilitation, Michigan State University College of Osteopathic Medicine

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Patrick M Foye, MD Associate Professor of Physical Medicine and Rehabilitation, Co-Director of Musculoskeletal Fellowship, Co-Director of Back Pain Clinic, Director of Coccyx Pain Service (Tailbone Pain Service: www.TailboneDoctor.com), University of Medicine and Dentistry of New Jersey, New Jersey Medical School

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Todd P Stitik, MD Professor, Department of Physical Medicine and Rehabilitation, Director, Outpatient Occupational/Musculoskeletal Medicine, University of Medicine and Dentistry of New Jersey-New Jersey Medical School

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Acknowledgments

The authors and editors of Medscape Reference would like to thank medical student Dena Abdelshahed and Drs. Greg Gazzillo, Debra Ibrahim, Evish Kamrava, Jason Lee, and Dev Sinha for their help in previous revisions of the source articles.

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