The management of greater trochanteric pain syndrome: A systematic literature review

Reid, Denise

doi:10.1016/j.jor.2015.12.006

Cited by 103 publications

(109 citation statements)

References 57 publications

(78 reference statements)

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“…63 Sometimes associated with greater trochanteric bursitis, pain may also be characterized as a burning or deep, dull ache over the posterior hip or lateral thigh and can become sharp when moving the affected hip from flexion to extension. 64 The most aggravating factors include active abduction of the hip, prolonged sitting, climbing stairs, and side-lying positions. 64,65 A recent systematic review and meta-analysis by Reiman et al deemed 4 clinical tests to be both valid and reliable for the diagnosis of gluteal tendinopathy: Trendelenburg sign, resisted hip abduction, resisted hip internal rotation, and the resisted hip external derotation tests (Video 2).…”

Section: Lateral Hip Painmentioning

confidence: 99%

“…64 The most aggravating factors include active abduction of the hip, prolonged sitting, climbing stairs, and side-lying positions. 64,65 A recent systematic review and meta-analysis by Reiman et al deemed 4 clinical tests to be both valid and reliable for the diagnosis of gluteal tendinopathy: Trendelenburg sign, resisted hip abduction, resisted hip internal rotation, and the resisted hip external derotation tests (Video 2). 66 The most clinically reliable test was the external derotation test, with a specificity of 97.3%, sensitivity of 88%, positive likelihood of 32.6, and negative likelihood of 0.12.…”

Section: Lateral Hip Painmentioning

confidence: 99%

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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%

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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“…Numerous alternative surgical procedures attempt to treat patients with GTPS including open and arthroscopic bursectomy, iliotibial band Z-lengthening, open or arthroscopic tendon repair, and trochanteric osteotomy [13]. In contrast to some other surgical methods, GFT aims to decompress the greater trochanter with excision of the bursa tissue.…”

Section: Discussionmentioning

confidence: 99%

“…For refractory cases of GTPS where conservative measures have failed, numerous surgical techniques have been described [13].…”

Section: Introductionmentioning

confidence: 99%

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Surgery for greater trochanteric pain syndrome after total hip replacement confers a poor outcome

Robertson-Waters

Berstock

Whitehouse

et al. 2017

International Orthopaedics (SICOT)

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Purpose Surgery for greater trochanteric pain syndrome (GTPS) may be indicated for cases refractory to conservative measures. We aim to evaluate patient reported outcomes and adverse events following surgery. Methods Postal questionnaires were used to evaluate a consecutive series of 61 bursectomy and gluteal fascia transposition (GFT) procedures. Study outcomes were Oxford hip score, satisfaction score, visual analogue score, pain lying on the affected side, and the duration of pain relief after surgery. Results We received responses regarding 52 procedures at a median of 34 months follow-up; 40% of cases of GTPS occurred following THA. We observed a bimodal distribution of satisfaction scores. The early post-operative complication rate was 13%; an additional seven cases (12%) required further surgery at a later date. Idiopathic GTPS had significantly better post-operative satisfaction than GTPS following THA, 87.5 vs. 37.5 (p = 0.006); Oxford hip scores, 35 vs. 15 (p = 0.015); and visual analogue scores, 20 vs. 73 (p = 0.005). Conclusion We observed overall poor outcomes, significant complications and concerning reoperation rates. Cases with previous joint replacement were associated with the worst outcomes.

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Musculoskeletal mimics for lumbosacral radiculopathy. Part 2: Specific disorders

Jorgensen,

Chiodo

2024

Muscle and Nerve

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Lumbosacral radiculopathy is a common disorder evaluated by the electrodiagnostic medicine (EDX) consultant. Making this task difficult is the abundance of radiculopathy mimics. Peripheral neurologic mimics are common, but musculoskeletal mimics are not rare and may be less familiar to many EDX consultants. Awareness of the most common musculoskeletal mimickers—particularly key historical and physical examination features that can distinguish them from radiculopathies—can lead to an accurate diagnosis for the patient and referring provider. Part 1 of this monograph covered theoretical issues surrounding why radiculopathy mimics occur. This second part reviews the most common musculoskeletal mimics, including facet arthropathy, myofascial pain syndrome, hip pathology, greater trochanteric pain syndrome, piriformis syndrome, sacroiliac joint dysfunction, hamstring pathology, iliotibial band syndrome, and plantar fasciitis. Diagnosis of these musculoskeletal mimickers is complicated by nonspecific physical examination and imaging findings, and diagnostic injections are frequently necessary to confirm the diagnosis. Treatment for most mimickers includes physical therapy, anti‐inflammatory medications, guided injections, and other conservative measures, only rarely followed by surgical intervention. EDX consultants can efficiently incorporate a few high‐yield maneuvers into their physical examination based on the location of the pain to provide answers to patients presenting with a musculoskeletal mimic of a lumbosacral radiculopathy.

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The management of greater trochanteric pain syndrome: A systematic literature review

Cited by 103 publications

References 57 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

Surgery for greater trochanteric pain syndrome after total hip replacement confers a poor outcome

Musculoskeletal mimics for lumbosacral radiculopathy. Part 2: Specific disorders

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