Trochanteric Bursitis

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Topic updated on 05/28/13 3:09pm
Introduction
  • Often occurs in female runners 
  • Is associated with training on banked surfaces
  • 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

 

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Video shows demonstration of arthroscopic greater trochanteric bursectomy.
4/10/2012
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