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Musculoskeletal system
Published in A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha, Clark’s Procedures in Diagnostic Imaging: A System-Based Approach, 2020
A Stewart Whitley, Jan Dodgeon, Angela Meadows, Jane Cullingworth, Ken Holmes, Marcus Jackson, Graham Hoadley, Randeep Kumar Kulshrestha
Intra-articular and peri-articular pain can be caused by myriad of conditions. Some are generic and can affect any joint, such as inflammatory arthritis. Some are specific to the processes within a particular joint or region, for example: Shoulder; pain commonly caused by the process of impingement – injection to the subacromial bursa.Elbow; pain commonly caused by ‘tennis’ or ‘golfer’s’ elbow – injection into the common extensor or flexor origins respectively.Wrist; pain commonly caused by de Quervain’s tenosynovitis – injection into the tendon sheath of the first extensor tendon.Hip; pain commonly caused by trochanteric bursitis – injection into the region of the trochanteric bursa.
Arthroscopic hip preservation surgery
Published in K. Mohan Iyer, Hip Preservation Techniques, 2019
As the etiology is varied, there are many therapeutic options for trochanteric bursitis. The management relies principally on physiotherapy and stretching. In cases that are refractory to conservative treatment, surgical interventions by means of arthroscopic debridement and release of tight iliotibial band have been shown to be safe and efficient.
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.
Sex-related differences in hip and groin injuries in adult runners: a systematic review
Published in The Physician and Sportsmedicine, 2023
Bailey J. Ross, Greg M. Lupica, Zakari R. Dymock, Cadence Miskimin, Mary K. Mulcahey
Three studies (30%) included data on time to recovery specifically following hip or groin injuries (Table 6) [22,33,36]. Kerr et al. reported that 86.1% (31/36) of runners recovered from a hip/groin RRI in <3 weeks, including 85.7% (6/7) of males and 86.2% (25/29) of females. The average or median time to recovery was not reported [22]. Mulvad et al. reported time to recovery for individual diagnoses. Five runners achieved RTS at a median recovery time of 56 days (range, 42–84) for gluteus medius injuries and mean recovery time was 52.5 days for the two runners with trochanteric bursitis. One runner with an iliopsoas injury recovered at 7 days following the injury and one runner with an adductor injury recovered at 154 days [36]. Nielsen et al. reported median times to recovery of 124 days (range, 45–317) for gluteus medius injuries, 71 days (range, 63–368) for iliopsoas injuries, 174 days (range, 107–235) for trochanteric bursitis and 101 days (range, 14–228) for adductor injuries [33].
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.
Characterizing femoroacetabular impingement in professional Nordic Skiers
Published in The Physician and Sportsmedicine, 2023
Kinjal Vasavada, Keir Alexander Ross, Ariana Lott, Dhruv Shankar, David Marulanda, Edward S. Mojica, Cordelia W. Carter, Lauren Borowski, Guillem Gonzalez-Lomas
We matched our cohort by age, sex, and body mass index (BMI) to a control group of non-athletes that was identified through a retrospective review of electronic medical records. Patients included in the control group had a history of greater trochanteric bursitis (ICD-10-CM code: M70. 61) without a documented concomitant intraarticular hip pathology, had received a hip physical exam from a sports physician at our center, and had received bilateral AP pelvis and 45 degree Dunn view radiographs.