Trochanteric Bursitis - Knee & Sports

Introduction
Epidemiology demographics often occurs in female runners risk factors Is associated with training on banked surfaces Pathophysiology pathoanatomy 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