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Joint and soft tissue corticosteroid injection: what is the evidence?
Published in David Silver, Silver's Joint and Soft Tissue Injection, 2018
Trochanteric bursitis, or greater trochanteric pain syndrome, is a common problem seen by primary care and sports physicians, characterised by lateral hip pain exacerbated by movement. Most cases respond to conservative measures, including lifestyle modification, physical therapy and weight loss, in conjunction with non-steroidal anti-inflammatories and corticosteroid injection.
Arthritis and Common Musculoskeletal Conditions
Published in K. Rao Poduri, Geriatric Rehabilitation, 2017
Jennifer H. Paul, Katarzyna Iwan, Claudia Ramirez
History should include areas of pain including the lower back and groin region. Patients with greater trochanteric pain syndrome typically present with chronic lateral hip pain. The area is often tender to palpation. Pain is exacerbated by lying on the affected side or with weight-bearing activities such as walking. Flexion, abduction, and external rotation of the hip often provokes the lateral hip pain.68
Greater trochanteric pain syndrome: predicting who will respond to a local glucocorticoid injection
Published in Scandinavian Journal of Rheumatology, 2021
M Jarlborg, DS Courvoisier, A Faundez, L Brulhart, A Finckh, MJ Nissen, S Genevay
Greater trochanteric pain syndrome (GTPS) is a frequent cause of lateral hip pain (LHP), involving the abductor and rotator mechanisms of the hip. The term GTPS was first employed by Leonard in 1958 to reflect the multifactorial aspect of this syndrome (1). GTPS is a frequent condition, with an incidence of 1.8 patients per 1000 per year, becoming chronic in about one-third of patients (2). The lifetime prevalence is estimated to be between 10% and 25% in the general population (3, 4). It has a significant effect on quality of life, comparable to end-stage hip osteoarthritis (5). The aetiology seems to implicate the repetitive friction between tendinous structures of the hip and the greater trochanter (6), probably favoured by altered biomechanics of the pelvis (7). Moreover, GTPS is frequently associated with low back pain (8) and hip osteoarthritis (9, 10).
Gluteus medius tears of the hip: a comprehensive approach
Published in The Physician and Sportsmedicine, 2019
Collin LaPorte, Marci Vasaris, Leland Gossett, Robert Boykin, Travis Menge
Greater trochanteric pain syndrome (GTPS) is described as pain on the lateral aspect of the hip, and can occasionally radiate down the lateral thigh to the knee [1]. GTPS is commonly seen in clinical practice and was historically felt to be secondary to trochanteric bursitis alone. However, with advances in magnetic resonance imaging (MRI), it has been demonstrated that gluteus medius tendinopathy or tearing is present in most cases of GTPS, and trochanteric bursitis is seldom found in the absence of gluteus medius pathology [2]. Gluteus medius tearing can be a major contributor to GTPS and may be secondary to chronic degeneration or acute trauma. It presents most commonly in females (females to males 4:1) between 40 and 60 years of age. These patients characteristically present with a Trendelenburg gait and lateral hip pain refractory to conservative treatment. It is imperative to fully understand the underlying pathology to be able to properly treat patients presenting with GTPS. While cases of trochanteric bursitis and tendinosis are best managed with non-operative measures, high-grade partial or full thickness gluteus medius tears may require operative intervention. Open and arthroscopic repair techniques have been described for this, with recent literature showing successful outcomes and reduced morbidity with arthroscopic techniques. The purpose of this article is to provide a comprehensive overview of anatomy, clinical evaluation, diagnosis and management of patients with gluteus medius tears.
Desmoid fibromatosis presenting as lateral hip pain in an outpatient physical therapy clinic: A case report
Published in Physiotherapy Theory and Practice, 2023
Kelli Wrolstad, John J Mischke, Audrey RC Elias
Although lateral hip pain is often diagnosed broadly as greater trochanteric pain syndrome (GTPS), gluteus medius strain or tendinopathy are the most common sources of lateral hip pain (Grimaldi and Fearon, 2015; LaPorte et al., 2019). Pain associated with gluteus medius strain is typically aggravated by weight bearing activities like walking, running, ascending/descending stairs, standing for prolonged periods, as well as lying on the affected side (Grimaldi and Fearon, 2015; LaPorte et al., 2019), all of which reproduced the patient’s pain. She experienced pain with resisted hip abduction, passive adduction, and tenderness to palpation of the hip abductors, raising the suspicion of a contractile lesion of the hip abductor musculature.