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Updated: Jun 1 2021

Trochanteric Bursitis

  • summary
    • Trochanteric bursitis is a very common source of lateral hip pain caused by repetitive trauma secondary to iliotibial band tracking over the trochanteric bursa.
    • Diagnosis is made clinically with point tenderness over the greater trochanter.
    • Treatment is conservative with NSAIDs, stretching, physical therapy and corticosteroid injections.
  • Epidemiology
    • Demographics
      • often occurs in female runners
    • Risk factors
      • Is associated with training on banked surfaces
  • Etiology
    • 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
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