Trochanteric Bursitis (Greater Trochanteric Pain Syndrome)

David W. Kruse, MD and David C. Shin, MD Reviewed 06/2018

BASICS

Trochanteric bursitis is the historical term referring to lateral hip pain and tenderness over the greater trochanter. Because many patients lack an inflammatory process within the trochanteric...

DIAGNOSIS

HISTORY

General history (1)

Pain localized to the lateral hip or buttock
Pain may radiate to groin or lateral thigh (pseudoradiculopathy).
Pain exacerbated by:
- Prolonged walking or standing
- Ris...

TREATMENT

GENERAL MEASURES

Physical therapy to address underlying dysfunction and rebuild atrophic muscle
Correct pelvic/hip instability.
Correct lower limb biomechanics.
Low-impact conditioning and aquat...

ONGOING CARE

FOLLOW UP RECOMMENDATIONS

4 weeks posttreatment, sooner if significant worsening

PATIENT EDUCATION

Maintain hip musculature flexibility, including ITB.
Correct issues that may cause abnormal...

REFERENCES

Williams BS, Cohen SP. Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg. 2009;108(5):1662–1670. [View Abstract on OvidMedline]

Kaltenbo...

ADDITIONAL READING

Baker CLJr, Massie RV, Hurt WG, et al. Arthroscopic bursectomy for recalcitrant trochanteric bursitis. Arthroscopy. 2007;23(8):827–832. [View Abstract on OvidMedline]
Barnthou...

CODES

ICD10

M70.60 Trochanteric bursitis, unspecified hip
M70.62 Trochanteric bursitis, left hip
M70.61 Trochanteric bursitis, right hip

ICD9

726.5 Enthesopathy of hip region

SNOMED

7674000 trochanteric bur...

CLINICAL PEARLS

Patients with GTPS often present with an inability to lie on the affected side.
Femoral neck stress fractures are a do-not-miss diagnosis, particularly in young female runners.
Corticost...

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