Trochanteric Bursitis (Subscribe)  

Treatment of trochanteric bursitis by steroid injections. BARKER CS. Can Med Assoc J. 1958 Apr 15;78(8):613.

A brief review of the literature, the clinical and radiological features, the differential doagnosis and the treatment of this condition are given in this paper.
Trochanteric bursitis: a common cause of pelvic girdle pain. Little H. Can Med Assoc J. 1979 Feb 17;120(4):456-8.

One hundred consecutive patients with rheumatoid arthritis (RA) were examined for the presence of trochanteric bursitis. This condition was found in 15. Ten patients responded to a single local injection of corticosteroid and the remaining 5 to a second injection. Trochanteric bursitis is an underdiagnosed, easily remediable cause of pain...

Five patients are described with avascular necrosis of the femoral head who presented with ipsilateral trochanteric bursitis, in the absence of clearcut hip joint disease. Avascular necrosis was indicated by magnetic resonance imaging. It is suggested that clinical trochanteric bursitis, especially when refractory to local corticosteroid treatment, may be the...

This case report describes a 46-year-old male runner who reported the sudden onset of right hip pain. A diagnosis of trochanteric bursitis was established by a physiatrist, and the patient underwent two courses of physical therapy for moist heat, ultrasound, and exercise. Because minimal improvement was seen in the patient's...

Malignant disease should be remembered in the differential diagnosis of common rheumatological disorders. We present a present a patient whose pain was found to be due to mailgnant disease and not due to simple trochanteric bursitis
Metastatic bone disease presenting as trochanteric bursitis. Hutchings C, Hull R. J R Soc Med. 1997 Dec;90(12):685-6

We present four cases of subcutanea trochanterica bursitis (one involving both sides). The bursitis was acute and inflammatory in two cases, chronic and microtraumatic in one, asymptomatic in one and septic in the last case. The acutely inflamed bursa may contain a blood effusion increasing the pain. CT and MRI...

CONCLUSION: Tendinopathy of the hip abductors and gluteus medius and minimus muscles was a common finding on MR imaging in our patients with buttock, lateral hip, or groin pain. Tendinopathy is probably a frequent cause of the greater trochanteric pain syndrome, a common regional pain syndrome that can mimic other...

Conclusion The results support the hypothesis that gluteus medius tendon pathology is important in defining GTPS. In this series, trochanteric bursal distension was uncommon and did not occur in the absence of gluteus medius pathology. The physical findings suggest that Trendelenburg's sign is the most sensitive and specific physical sign for...

Patients with lower back or buttock pain that radiates into the posterior or lateral leg are often referred to physical therapy with a diagnosis of sciatica. Often the physical exam does not reveal neurologic findings indicative of radiculopathy. Instead, there is hip abductor muscle pain and weakness. This syndrome involves...

We describe a new operative procedure for patients with chronic trochanteric bursitis. Between March 1994 and May 2000, a trochanteric reduction osteotomy was performed on ten patients (12 hips). All had received conservative treatment for at least one year. Previous surgical treatment with a longitudinal release of the iliotibial band...

MRI Web Clinic - May 2004 Gluteus Minimus Tear and Trochanteric Bursitis by Michael E. Stadnick, M.D.
Clinical History: 70 year-old female with chronic left hip pain. Coronal T1-weighted (A), Coronal STIR (B), and Axial T2-weighted (C) images are provided.

Although trochanteric bursa injections are commonly performed to treat hip pain, they have never been described using fluoroscopy.
CONCLUSIONS: Radiological confirmation of bursal spread is necessary to ensure that the injectate reaches the area of pathology during trochanteric bursa injections.
Corticosteroid injections for trochanteric bursitis: is fluoroscopy necessary? A pilot study. Cohen SP,...

Trochanteric pain is the second most important diagnosis of hip problems presenting in primary care, but its incidence and prognosis in this context is largely unknown. AIM: To determine the 1- and 5-year prognoses of trochanteric pain and the predictive variables for consistent complaints.
CONCLUSION: Trochanteric pain is shown to be...

A considerable part of patients suffer from (greater) trochanteric pain syndrome or trochanteric bursitis. Local corticosteroid injections is one of the treatment options. Although clear evidence is lacking, small observational studies suggest that this treatment is effective in the short-term follow-up. So far, there are no randomised controlled trials...