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Endoscopic Treatment of Greater Trochanteric Pain Syndrome - A Case Series of 11 Patients.
J Orthop Case Rep. 2019 Jan-Feb; 9(1):6-10.JO

Abstract

Introduction

Greater trochanteric pain syndrome (GTPS) includes patients with symptoms of peritrochanteric pain, gluteus medius/minimus tendinopathy, and external snapping hip. Non-operative treatment includes iliotibial band (ITB) stretching, gluteal exercises and cortisone injections. When surgery is indicated due to the failure of non-operative strategies, open Z-plasty at the level of the greater trochanter has been the traditional procedure. Endoscopic release of the ITB and bursectomy at the level of the greater trochanter has over the last decades evolved and is established as an alternative method of surgery.

Case Reports

We here present a case series with 11 consecutive patients who have undergone endoscopic release of the ITB and bursectomy at the level of the greater trochanter due to GTPS. The patients were all Caucasians, 43-years of age, and six were female. The patients retrospectively scored their pre-operative function and pain during follow-up at 28 months (range 15-42). Post-operative pain and function were scored at follow-up. In this paper, we discuss investigation, differential diagnoses, surgical options, and outcomes in the treatment of GTPS. All patients reported significant reduction of pain, and 10 of 11 patients reported an improvement in function. We observed no complications.

Conclusions

Endoscopic release of the ITB and bursectomy at the level of the greater trochanter appears to be an effective and safe procedure when conservative treatment options for GTPS have failed.

Authors+Show Affiliations

Department of Orthopaedic Surgery, St. Olavs University Hospital, Trondheim, Norway.Department of Orthopaedic Surgery, St. Olavs University Hospital, Trondheim, Norway.Department of Orthopaedic Surgery, St. Olavs University Hospital, Trondheim, Norway. Department of Neuromedicine and Movement Science, Norwegian University of Science and Technology, Trondheim, Norway.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31245309

Citation

Thomassen, Peter Joachim Bruun, et al. "Endoscopic Treatment of Greater Trochanteric Pain Syndrome - a Case Series of 11 Patients." Journal of Orthopaedic Case Reports, vol. 9, no. 1, 2019, pp. 6-10.
Thomassen PJB, Basso T, Foss OA. Endoscopic Treatment of Greater Trochanteric Pain Syndrome - A Case Series of 11 Patients. J Orthop Case Rep. 2019;9(1):6-10.
Thomassen, P. J. B., Basso, T., & Foss, O. A. (2019). Endoscopic Treatment of Greater Trochanteric Pain Syndrome - A Case Series of 11 Patients. Journal of Orthopaedic Case Reports, 9(1), 6-10. https://doi.org/10.13107/jocr.2250-0685.1284
Thomassen PJB, Basso T, Foss OA. Endoscopic Treatment of Greater Trochanteric Pain Syndrome - a Case Series of 11 Patients. J Orthop Case Rep. 2019;9(1):6-10. PubMed PMID: 31245309.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic Treatment of Greater Trochanteric Pain Syndrome - A Case Series of 11 Patients. AU - Thomassen,Peter Joachim Bruun, AU - Basso,Trude, AU - Foss,Olav Andreas, PY - 2019/6/28/entrez PY - 2019/6/28/pubmed PY - 2019/6/28/medline KW - Greater trochanteric pain syndrome KW - Z-plasty KW - algorithm KW - endoscopy KW - iliotibial band SP - 6 EP - 10 JF - Journal of orthopaedic case reports JO - J Orthop Case Rep VL - 9 IS - 1 N2 - Introduction: Greater trochanteric pain syndrome (GTPS) includes patients with symptoms of peritrochanteric pain, gluteus medius/minimus tendinopathy, and external snapping hip. Non-operative treatment includes iliotibial band (ITB) stretching, gluteal exercises and cortisone injections. When surgery is indicated due to the failure of non-operative strategies, open Z-plasty at the level of the greater trochanter has been the traditional procedure. Endoscopic release of the ITB and bursectomy at the level of the greater trochanter has over the last decades evolved and is established as an alternative method of surgery. Case Reports: We here present a case series with 11 consecutive patients who have undergone endoscopic release of the ITB and bursectomy at the level of the greater trochanter due to GTPS. The patients were all Caucasians, 43-years of age, and six were female. The patients retrospectively scored their pre-operative function and pain during follow-up at 28 months (range 15-42). Post-operative pain and function were scored at follow-up. In this paper, we discuss investigation, differential diagnoses, surgical options, and outcomes in the treatment of GTPS. All patients reported significant reduction of pain, and 10 of 11 patients reported an improvement in function. We observed no complications. Conclusions: Endoscopic release of the ITB and bursectomy at the level of the greater trochanter appears to be an effective and safe procedure when conservative treatment options for GTPS have failed. SN - 2250-0685 UR - https://www.unboundmedicine.com/medline/citation/31245309/Endoscopic_Treatment_of_Greater_Trochanteric_Pain_Syndrome_-_A_Case_Series_of_11_Patients L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/31245309/ DB - PRIME DP - Unbound Medicine ER -
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