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Trochanteric Bursitis

Abstract
Trochanteric bursitis (TB), also known as greater trochanteric bursitis (GTB) or greater trochanteric pain syndrome (GTPS) is a common disorder and frequent cause of lateral hip pain. The bursa, a small fluid-filled sac, acts as a lubricating medium for nearby gluteus tendons to gracefully slide over during the physiologic range of motion. The trochanteric bursa is located on the lateral aspect of the hip, lying superficial to the hip abductor musculature and deep to the iliotibial band (ITB). Due to its superficial position and proximity to large tendons, the trochanteric bursa can become inflamed and is a common pain generator and a common reason for presentation to the orthopedic surgeon or family physician. Inflammation to the bursa can be due to repetitive microtraumas such as running or exercise, tendinopathy of surrounding musculature, gross trauma including fall from a height with direct compression to the bursa, or inflammation can be idiopathic without a discernable cause. Diagnosis is clinical and based primarily on history and physical examination although imaging, including plain film radiographs, is important to rule out other causes of hip pain. Treatment modalities are nearly exclusively nonoperative in nature and include non-steroidal anti-inflammatories (NSAIDs), physical therapy and stretching, and cortical steroid injections are often provided for pain relief. Surgical excision of the trochanteric bursa is reserved for refractory cases that do not respond to nonoperative treatment. 

Publisher

StatPearls Publishing
Treasure Island (FL)

Language

eng

PubMed ID

30860738

Citation

Seidman AJ, Varacallo M: Trochanteric Bursitis. StatPearls. StatPearls Publishing, 2020, Treasure Island (FL).
Seidman AJ, Varacallo M. Trochanteric Bursitis. StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.
Seidman AJ & Varacallo M. (2020). Trochanteric Bursitis. In StatPearls. Treasure Island (FL): StatPearls Publishing
Seidman AJ, Varacallo M. Trochanteric Bursitis. StatPearls. Treasure Island (FL): StatPearls Publishing; 2020.
* Article titles in AMA citation format should be in sentence-case
TY - CHAP T1 - Trochanteric Bursitis BT - StatPearls A1 - Seidman,Aaron J., AU - Varacallo,Matthew, Y1 - 2020/01// PY - 2019/3/13/pubmed PY - 2019/3/13/medline PY - 2019/3/13/entrez N2 - Trochanteric bursitis (TB), also known as greater trochanteric bursitis (GTB) or greater trochanteric pain syndrome (GTPS) is a common disorder and frequent cause of lateral hip pain. The bursa, a small fluid-filled sac, acts as a lubricating medium for nearby gluteus tendons to gracefully slide over during the physiologic range of motion. The trochanteric bursa is located on the lateral aspect of the hip, lying superficial to the hip abductor musculature and deep to the iliotibial band (ITB). Due to its superficial position and proximity to large tendons, the trochanteric bursa can become inflamed and is a common pain generator and a common reason for presentation to the orthopedic surgeon or family physician. Inflammation to the bursa can be due to repetitive microtraumas such as running or exercise, tendinopathy of surrounding musculature, gross trauma including fall from a height with direct compression to the bursa, or inflammation can be idiopathic without a discernable cause. Diagnosis is clinical and based primarily on history and physical examination although imaging, including plain film radiographs, is important to rule out other causes of hip pain. Treatment modalities are nearly exclusively nonoperative in nature and include non-steroidal anti-inflammatories (NSAIDs), physical therapy and stretching, and cortical steroid injections are often provided for pain relief. Surgical excision of the trochanteric bursa is reserved for refractory cases that do not respond to nonoperative treatment.  PB - StatPearls Publishing CY - Treasure Island (FL) UR - https://www.unboundmedicine.com/medline/citation/30860738/StatPearls:_Trochanteric_Bursitis L2 - https://www.ncbi.nlm.nih.gov/books/NBK538503 DB - PRIME DP - Unbound Medicine ER -
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