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Trochanteric Bursitis (Greater Trochanteric Pain Syndrome)

David W. Kruse, MD and David C. Shin, MD Reviewed 06/2019
 


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

    • Risin...

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

1
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]
2
Kaltenbor...

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]

  • Barnthous...

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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