[Greater trochanteric pain syndrome of the hip].
Lateral pain of the hip with point tenderness at the Greater Trochanter is a common musculoskeletal complaint. It is frequently diagnosed as trochanteric bursitis; however, this term is inaccurate because of evident non-inflammatory pathologies, particularly of the abductor tendons of the hip. It is important to differentiate this extra-articular source from an intra-articular or a lower back source of pain. Imaging is useful in cases of trauma, prolonged pain or uncertain diagnosis. Non-operative treatment that involves modifying activities, physiotherapy, analgesics, steroid injections and shock wave therapy is usually helpful. Nevertheless, despite the above treatments, about one third of the patients suffer from chronic pain and disability. These patients may be candidates for operative intervention. Currently, there are endoscopic surgical techniques for local decompression, bursectomy and suture of torn tendons similar to surgery used in the shoulder.
Barak
B
Haviv
Shlomo
S
Bronak
Rafael
R
Thein
D000700:Analgesics / Q000627:therapeutic use*; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D018771:Arthralgia / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D001182:Arthroscopy / Q000379:methods*; D003131:Combined Modality Therapy / Q000379:methods; D005938:Glucocorticoids / Q000627:therapeutic use*; D006621:Hip Joint / Q000473:pathology / Q000503:physiopathology; D006801:Humans; D007270:Injections, Intra-Articular; D019637:Orthopedic Procedures / Q000379:methods*; D017063:Outcome Assessment, Health Care; D059408:Pain Management; D010147:Pain Measurement; D026741:Physical Therapy Modalities; D013710:Tendons / Q000473:pathology / Q000503:physiopathology
D000700:Analgesics; D000893:Anti-Inflammatory Agents; D005938:Glucocorticoids