Greater trochanteric pain syndrome

Abstract

Greater trochanteric pain syndrome (GTPS) is a common problem that is both debilitating and challenging to manage. In the past, the terms GTPS and greater trochanteric bursitis were used interchangeably, however, inflammation is not always a feature, and in fact, overuse or injury of the gluteal muscles may be the predominant feature. GTPS is now understood to involve multiple pathologies that affect the intra-articular or peri-articular spaces of the hip. Early detection and management of GTPS by GPs can improve patients’ quality of life. Currently, the use of corticosteroid injection therapy and imaging in the management of GTPS may be suboptimal. The aim of this article is to review the current management of GTPS, evidence for the efficacy and duration of action of corticosteroid injection therapy and the role of imaging techniques in the diagnosis and management of GTPS, including the ability to identify pathology and predict treatment response.

Greater Trochanteric Pain Syndrome: An Intraoperative Endoscopic Classification System with Pearls to Surgical Techniques and Rehabilitation Protocols

“…An underlying theme of our GTPS classification system is use of endoscopic diagnosis to guide management. Although multiple previous studies have shown good correlation with preoperative imaging and intraoperative findings in refractory GTPS, little consensus exists as to what to do with these findings 9, 18, 19. As such, proper surgical indications and management are of utmost importance to optimize postoperative patient outcomes.…”