Updated: 10/6/2016

Trochanteric Bursitis

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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
 

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