[Periarticular pathology of the hip].
The hip region is the seat of a rich and common periarticular pathology, with a variable involvement, depending of the location, and needs better knowledge. Anyway the clinical examination takes the major place in the diagnostic. Trochanteric bursitis and tendinitis are the more common clinical syndrome in that regional pathology. Local injections of corticosteroid are still the mean modality of the conservative treatment but are not sufficient to avoid recurrence or chronicity which may lead to tendon tears. A better knowledge of the physiopathology will lead to a better and early recovery. Apatite calcifications are not rare around the hip. Great trochanter is the first location, but the femoral insertion of the gluteus maximus and vastus lateralis on the linea aspera, the lateral side of the acetabulum and the ischial tuberosity are worth known. Iliopsoas bursitis, which has some analogy with the popliteal cyst, is often underrecognized, like ischial bursitis and tendinopathy.
Bard
Hervé
H
Service de médecine interne (Pr B. Patri) Hôpital européen Georges-Pompidou 75908 Paris. herve.bard@wanadoo.fr
D002062:Bursitis / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D002114:Calcinosis; D003937:Diagnosis, Differential; D006621:Hip Joint / Q000473:pathology*; D006801:Humans; D012008:Recurrence; D052256:Tendinopathy / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy