Trochanteric Bursitis

Key Images

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