Sonography of Greater Trochanteric Pain Syndrome and the Rarity of Primary Bursitis

Long, Suzanne S.; Surrey, David E.; Nazarian, Levon N.

doi:10.2214/ajr.12.10038

Cited by 151 publications

(109 citation statements)

References 13 publications

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“…61 Trochanteric bursitis, a term well known among clinicians, represents a less common cause of lateral hip pain. Other differentials to consider include external snapping hip and neuropathy of the iliohypogastric or lateral femoral cutaneous nerves.…”

Section: Lateral Hip Painmentioning

confidence: 99%

“…66 In a retrospective review of the US examinations of 877 patients with greater trochanteric pain syndrome, Long et al found that 50% had tendinosis of the gluteal tendons, 28.5% had a thickened iliotibial band, 20% had trochanteric bursitis, and only 0.5% had gluteal tendon tears. 61 Gluteal tendinosis is diagnosed with US as a thickened tendon with loss of the normal fibrillar tendon architecture with or without superimposed calcifications. 61 Iliotibial band thickening is demonstrated at US examination by fusiform thickening at the level of the greater trochanter.…”

Section: Lateral Hip Painmentioning

confidence: 99%

“…61 Gluteal tendinosis is diagnosed with US as a thickened tendon with loss of the normal fibrillar tendon architecture with or without superimposed calcifications. 61 Iliotibial band thickening is demonstrated at US examination by fusiform thickening at the level of the greater trochanter. Trochanteric bursitis is defined as anechoic or hypoechoic fluid within the bursa.…”

Section: Lateral Hip Painmentioning

confidence: 99%

See 2 more Smart Citations

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to present a narrative review of the literature of musculoskeletal causes of adult hip pain, with special attention to history, physical examination, and diagnostic imaging. Methods: A narrative review of the English medical literature was performed by using the search terms "hip pain" AND "anterior," "lateral," and "posterior." Additionally, specific entities of hip pain or pain referral sources to the hip were searched for. We used the PubMed search engine through January 15, 2016. Results: Musculoskeletal sources of adult hip pain can be divided into posterior, lateral, and anterior categories. For posterior hip pain, select considerations include lumbar spine and femoroacetabular joint referral, sacroiliac joint pathology, piriformis syndrome, and proximal hamstring tendinopathy. Gluteal tendinopathy and iliotibial band thickening are the most common causes of lateral hip pain. Anterior hip pain is further divided into causes that are intra-articular (ie, labral tear, osteoarthritis, osteonecrosis) and extra-articular (ie, snapping hip and inguinal disruption [athletic pubalgia]). Entrapment neuropathies and myofascial pain should also be considered in each compartment. A limited number of historical features and physical examination tests for evaluation of adult hip pain are supported by the literature and are discussed in this article. Depending on the clinical differential, the gamut of diagnostic imaging modalities recommended for accurate diagnosis include plain film radiography, computed tomography, magnetic resonance imaging, skeletal scintigraphy, and ultrasonography. Conclusions: The evaluation of adult hip pain is challenging. Clinicians should consider posterior, lateral, and anterior sources of pain while keeping in mind that these may overlap. (J Chiropr Med 2016;15:281-293)

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Section: Lateral Hip Painmentioning

confidence: 99%

Section: Lateral Hip Painmentioning

confidence: 99%

Section: Lateral Hip Painmentioning

confidence: 99%

See 1 more Smart Citation

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Battaglia

D’Angelo

Kettner

2016

Journal of Chiropractic Medicine

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“…Ultrasound as a dynamic evaluation modality can visualize external snapping of the hip. In a study of 877 patients with GTPS, Long et al [24] used ultrasound to identify gluteal tendinosis in 50 % of patients, a thickened iliotibial band in 28.5 % of patients, a gluteal tear in 0.5 % of patients, and trochanteric bursitis in 20 % of patients. Incidentally, Long et.…”

Section: Imagingmentioning

confidence: 99%

“…Incidentally, Long et. al concluded that only a minority of patients (20.2 %) were determined to have trochanteric bursitis [24].…”

Section: Imagingmentioning

confidence: 99%

Hip Abductor Tendinopathy: Work-Up and Open Versus Arthroscopic Repair of Hip Abductor

Casscells¹

2016

OROAJ

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Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

et al. 2019

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Greater trochanteric pain syndrome (GTPS) is prevalent in women and severely impacts quality of life. A key muscle group demonstrating reduced strength are the hip abductors. An understanding of specific muscles affected will help guide targeted rehabilitation. Objectives of this case–control study were to compare gluteal and tensor fasciae latae (TFL) muscle size and quality (fatty infiltration) in women with symptomatic GTPS to asymptomatic age‐matched female controls. Magnetic resonance imaging of 16 women with GTPS (mean age 55.75 years, range 23–69) and 15 asymptomatic controls (mean age 55.60 years, range 31–66) was undertaken. Muscle volumes of the gluteus maximus, gluteus medius, gluteus minimus, and TFL were calculated. Fatty infiltration was rated using the Goutallier classification system for all muscles in their entirety, as well as anterior and posterior segments of gluteus medius and minimus. Muscle volumes and fatty infiltration were compared between groups. Significantly smaller muscle volumes were identified in the symptomatic group for the upper (P = 0.01) and lower (P = 0.04) portions of gluteus maximus, gluteus medius (P = 0.03), and gluteus minimus (P = 0.02). There was no difference in TFL (P = 0.18). Symptomatic participants displayed significantly greater fatty infiltration in gluteus maximus upper (P = 0.021) and lower (P = 0.049) when adjusted for BMI, and gluteus minimus (P = 0.018), particularly in the posterior portion (P = 0.04). Anterior gluteus minimus demonstrated high amounts of fatty infiltration in both groups. Gluteal muscle atrophy and fatty infiltration in women with GTPS suggests gluteus maximus and minimus may be an important target for rehabilitation. Clin. Anat., 33:1082‐1090, 2020. © 2019 Wiley Periodicals, Inc.

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Sonography of Greater Trochanteric Pain Syndrome and the Rarity of Primary Bursitis

Cited by 151 publications

References 13 publications

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging

Hip Abductor Tendinopathy: Work-Up and Open Versus Arthroscopic Repair of Hip Abductor

Muscle Size and Quality of the Gluteal Muscles and Tensor Fasciae Latae in Women with Greater Trochanteric Pain Syndrome

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