questions
0

Trochanteric Bursitis

Author:
Topic updated on 09/11/13 2:55pm
Introduction
  • Epidemiology
    • demographics
      • often occurs in female runners 
    • risk factors
      • Is associated with training on banked surfaces
  • Pathophysiology
    • pathoanatomy
      • repetitive trauma caused by iliotibial band tracking over trochanteric bursa 
      • can irritate the bursa causing inflammation
Anatomy
  • Trochanteric bursa is superficial to the hip abductor muscles and deep to the iliotibial band 
Presentation
  • Symptoms
    • lateral sided hip pain, although hip joint is not involved
  • Physical exam
    • pain with palpation over greater trochanter 
Imaging
  • Radiographs
    • will be unremarkable
  • MRI 
    • will show increased signal in bursa due to inflammation on T2 sequence 
Treatment
  • Nonoperative
    • NSAIDS, stretching, PT including modalities, corticosteroid injections 
      • indications
        • first line treatment is always conservative
  • Operative 
    • open vs arthroscopic trochanteric bursectomy  
      • indications
        • is done only after conservative measures fail

 

Please Rate Educational Value!
3.0
Average 3.0 of 12 Ratings

Qbank (0 Questions)




Videos

video
Video shows demonstration of arthroscopic greater trochanteric bursectomy.
4/10/2012
609 views
5
See More Videos

Groups


Topic Comments