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Trochanteric Bursitis, Sports Medicine

Stephen Carek, MD and Daniel C. Herman, MD, PhD, FAAPMR, FACSM, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

Historically, the condition of pain and tenderness in the area of the greater trochanter had been referred to as trochanteric bursitis. Recent literature has referred to this conditi...

DIAGNOSIS

HISTORY

  • Pain localized to the area of the lateral hip is the key historical finding. This pain may radiate down the lateral thigh or into the groin.

  • Pain is often aggravated by:

    • Prolonged walki...

TREATMENT

GENERAL MEASURES

  • Multimodal conservative approach including 4[A]:

    • Ice

    • Analgesics

    • Nonsteroidal anti-inflammatory drugs (NSAIDs)

    • Minimize aggravating activities such as running or prolonged standin...

ONGOING CARE

COMPLICATIONS

  • Bursal thickening and fibrosis

  • Tendon thickening, fibrosis, or tearing

REFERENCES

1
Redmond JM, Chen AW, Domb BG. Greater trochanteric pain syndrome. J Am Acad Orthop Surg.  2016;24(4):231–240.
2
Grimaldi A, Mellor R, Nicolson P, et al. Utility of clinical tests to dia...

ADDITIONAL READING

  • Korakakis V, Whiteley R, Tzavara A, et al. The effectiveness of extracorporeal shockwave therapy in common lower limb conditions: a systematic review including quantification of pat...

CLINICAL PEARLS

  • Trochanteric bursitis, also referred to as greater trochanteric pain syndrome, is best diagnosed with tenderness of the lateral hip and reproduced pain with single leg stance.

  • Treatment...

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