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Trochanteric Bursitis (Greater Trochanteric Pain Syndrome)

Daniel L. Warden, MD, Nicholas Moore, MD and Kyle M Samyn, MS, DO Reviewed 06/2022
 


BASICS

Trochanteric bursitis is often used as a general term to describe lateral hip pain and tenderness over the greater trochanter. There may be inflammation at one of a number of bursa at the later...

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

    • Risi...

TREATMENT

GENERAL MEASURES

  • Physical therapy to address underlying dysfunction and weakness

  • Correct pelvic/hip instability.

  • Correct lower limb biomechanics.

  • Low-impact conditioning and aquatic therapy

  • Gait ...

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

1
Williams  BS, Cohen  SP. Greater trochanteric pain syndrome: a review of anatomy, diagnosis and treatment. Anesth Analg.  2009; 108(5): 1662– 1670.  [View Abst...

ADDITIONAL READING

  • Barratt  PA, Brookes  N, Newson  A. Conservative treatments for greater trochanteric pain syndrome: a systematic review. Br J Sports Med.  2017; 51(2...

CODES

ICD10

  • M70.60 Trochanteric bursitis, unspecified hip

  • M70.62 Trochanteric bursitis, left hip

  • M70.61 Trochanteric bursitis, right hip

SNOMED

  • 7674000 trochanteric bursitis (disorder)

  • 11873951000119109 Bil...

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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