Hip bursitis is a frustrating condition encountered regularly by primary care physicians and orthopaedists. The causes of GTPS can be traumatic and nontraumatic. Risk factors are various and variously described, including age older than 40 years, female gender, ipsilateral ITB pain, knee osteoarthritis (OA), obesity, and low back pain (LBP). In the literature there have been described more than 20 bursae in the trochanteric region. Three are certainly the most representative: the gluteus minimus bursa, the subgluteus maximus and subgluteus medius bursae. Patients are suffering from pain radiating to the posterolateral aspect of the thigh, paraesthesiae in the legs, and tenderness over the iliotibial tract. Often the symptoms are mild, with the patient treating himself successfully through activity modification and other conservative measures, including relative rest, ice, compression, elevation, anti-inflammatory medication and treatment modalities such as ultrasound and electrical stimulation, combined with a structured rehabilitation program. Patients whose symptoms persist despite conservative therapy are likely to benefit from an injection of corticosteroid and anaesthetic into the inflamed bursa. More invasive surgical interventions have been reported to provide pain relief when previous treatment modalities fail. In this chapter, we review the pathogenesis, common initial symptoms, diagnostic approach, and treatment options for trochanteric bursitis.
Bursitis around the hip
Aprato A.
First
;Ravera L.;Masse A.Last
2015-01-01
Abstract
Hip bursitis is a frustrating condition encountered regularly by primary care physicians and orthopaedists. The causes of GTPS can be traumatic and nontraumatic. Risk factors are various and variously described, including age older than 40 years, female gender, ipsilateral ITB pain, knee osteoarthritis (OA), obesity, and low back pain (LBP). In the literature there have been described more than 20 bursae in the trochanteric region. Three are certainly the most representative: the gluteus minimus bursa, the subgluteus maximus and subgluteus medius bursae. Patients are suffering from pain radiating to the posterolateral aspect of the thigh, paraesthesiae in the legs, and tenderness over the iliotibial tract. Often the symptoms are mild, with the patient treating himself successfully through activity modification and other conservative measures, including relative rest, ice, compression, elevation, anti-inflammatory medication and treatment modalities such as ultrasound and electrical stimulation, combined with a structured rehabilitation program. Patients whose symptoms persist despite conservative therapy are likely to benefit from an injection of corticosteroid and anaesthetic into the inflamed bursa. More invasive surgical interventions have been reported to provide pain relief when previous treatment modalities fail. In this chapter, we review the pathogenesis, common initial symptoms, diagnostic approach, and treatment options for trochanteric bursitis.
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