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Phys Sportsmed 2019 02 3;47(1):15-20. Epub 2018 Oct 3.

a Spectrum Health Orthopedics , Grand Rapids , MI, USA.

Greater trochanteric pain syndrome (GTPS) is a common clinical condition that can affect a wide range of patients. Historically, the condition has been associated with trochanteric bursitis. More recently, however, a growing body of literature has demonstrated gluteus medius tendinopathy and tearing is present in many cases of GTPS. Read More

Trials 2018 Sep 21;19(1):517. Epub 2018 Sep 21.

Northumbria Healthcare NHS Foundation Trust, North Shields, UK.

Background: Greater trochanteric pain syndrome (GTPS) is a painful condition characterised by pain around the greater trochanter usually affecting middle-aged women. The majority of patients will improve with conservative management such as physiotherapy and non-steroidal anti-inflammatory drugs (NSAIDs); however, if this fails then more invasive treatments including corticosteroid injections and surgery may be required. Platelet-rich plasma (PRP) is an autologous blood product, which has a higher concentration of growth factors postulated to provide enhanced healing and anti-inflammatory properties. Read More

Prim Care 2018 Jun;45(2):289-303

Rheumatology Fellowship, San Antonio Uniformed Services Health Education Consortium (SAUSHEC), Uniformed Services University of the Health Sciences, San Antonio Military Medical Center, 3551 Roger Brooke Drive, San Antonio, TX 78234, USA.

Soft tissue musculoskeletal pain disorders are common in the primary care setting. Early recognition and diagnosis of these syndromes minimizes patient pain and disability. This article gives a brief overview of the most common soft tissue musculoskeletal pain syndromes. Read More

BMJ 2018 May 2;361:k1662. Epub 2018 May 2.

School of Health and Rehabilitation Sciences, University of Queensland, QLD 4072, Australia

Objective: To compare the effects of a programme of load management education plus exercise, corticosteroid injection use, and no treatment on pain and global improvement in individuals with gluteal tendinopathy.

Design: Prospective, three arm, single blinded, randomised clinical trial.

Setting: Brisbane and Melbourne, Australia. Read More

J Ultrasound Med 2018 Jun 24;37(6):1439-1446. Epub 2017 Nov 24.

Department of Orthopedic Surgery, University Hospital of Rennes, Rennes, France.

Objectives: To assess visibility of the acetabular cup in total hip replacement and to determine the value of direct and indirect signs of iliopsoas impingement syndrome with ultrasound.

Methods: Ultrasound examinations were performed by a single operator in 17 patients with iliopsoas impingement syndrome and 48 control patients. Cup visibility, contact between the cup and psoas tendon, and the presence of indirect signs of iliopsoas impingement syndrome were investigated in all patients. Read More

J Arthroplasty 2017 10 27;32(10):3249-3255. Epub 2017 Apr 27.

Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, New York.

Background: Most patients who undergo total hip arthroplasty are very satisfied with their outcomes. However, there is a small subset of patients who have persistent pain after surgery. The etiology of pain after total hip arthroplasty varies widely; however, tendon disorders are a major cause of debilitating pain that often go unrecognized. Read More

J Womens Health (Larchmt) 2017 06 6;26(6):633-643. Epub 2017 Mar 6.

1 Department of Rehabilitation, Nutrition, and Sport, College of Science Health and Engineering, School of Allied Health, La Trobe University , Bundoora, Victoria, Australia .

Objective: To evaluate the diagnostic accuracy of 10 clinical tests that can be used in the diagnosis of greater trochanteric pain syndrome (GTPS) in women, and to compare these clinical tests to magnetic resonance imaging (MRI) findings.

Materials And Methods: Twenty-eight participants with GTPS (49.5 ± 22. Read More

Acta Ortop Bras 2016 Jul-Aug;24(4):208-212

. Irmandade da Santa Casa de Misericórdia de São Paulo, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.

Objective: To compare the efficacy of platelet rich plasma (PRP) against corticosteroid on the treatment of trochanteric pain syndrome

Methods: From July 2011 to November 2012, eighteen patients (20 hips) with trochanter pain syndrome were randomized in two groups and treated with platelet rich plasma or triamcinolone infiltration guided by ultrasound. Pain and function were evaluated prior to the intervention and after 10, 30 and 60 days, through the Facial Expressions Scale for Pain and the Western Ontario McMaster and Harris Hip Score questionnaires. Inter-group analysis was performed by Student t-test and intragroup analysis by ANOVA, followed by Bonferroni post hoc test. Read More

Am J Phys Med Rehabil 2017 Oct;96(10):e181-e184

From the Rutgers New Jersey Medical School, Newark, New Jersey (BC, LR, TS, ML); New York-Presbyterian Hospital Columbia and Cornell Rehabilitation Medicine, New York (LR); and Midwestern University Arizona College of Osteopathic Medicine, Glendale, Arizona (ML).

This case report describes what the authors believe is the first case of a patient with obturator internus tendinitis and bursitis successfully treated with a corticosteroid injection using a trans-tendinous lateral to medial approach. The patient presented with right gluteal pain not relieved by physical therapy or right hip and ischial bursa corticosteroid injections. Pelvic and lumbar spine MRIs and EMG/NCS findings were unremarkable. Read More

Gait Posture 2017 02 5;52:237-243. Epub 2016 Dec 5.

Latrobe University, La Trobe Sport and Exercise Medicine Research Centre, Bundoora, Vic, Australia. Electronic address:

Question: What are the functional differences between people with greater trochanteric pain syndrome (GT), hip osteoarthritis (OA) or an asymptomatic population as measured by walking, Time Up and Go, single leg standing and strength?

Design: Cross sectional study with blinded measurers.

Participants: 38 participants with GT, 20 with end stage hip OA and 21 asymptomatic healthy control (AS) participants. All participants were women. Read More

Radiol Med 2017 Mar 9;122(3):208-214. Epub 2016 Dec 9.

Unità Operativa di Radiologia/Diagnostica per Immagini con Servizio di Radiologia Interventistica, IRCCS Istituto Ortopedico Galeazzi, Via Riccardo Galeazzi 4, 20161, Milan, Italy.

Objectives: We evaluated the incidence of greater trochanter pain syndrome (GTPS) in patients who underwent magnetic resonance arthrography (MRA) of the hip for a suspected femoroacetabular impingement (FAI) syndrome.

Methods: Hip MRA performed at our institution (3/2012-1/2014) were reviewed. The absence/presence of FAI (cam, pincer, and mixed) was noted. Read More

Acta Radiol 2017 Aug 17;58(8):964-970. Epub 2016 Nov 17.

4 Department of Prosthetic Surgery and Revision of Hip and Knee Implants, Rizzoli Orthopaedic Institute, Bologna, Italy.

Background Ultrasound-guided percutaneous irrigation of calcific tendinopathy (US-PICT) with intrabursal steroid injection is an elective treatment for painful rotator cuff calcific tendinopathy. Purpose To compare the efficacy of post-US-PICT intrabursal 40 mg injection of triamcinolone acetonide (TA) versus methylprednisolone acetate (MA). Material and Methods Forty patients (22 women; mean age 48. Read More

Br J Sports Med 2017 Jan 10;51(2):97-104. Epub 2016 Nov 10.

Physiotherapy Department, Salford Royal Hospital, Salford, Greater Manchester, UK.

Background: Greater trochanteric pain syndrome (GTPS) can have a significant effect on quality of life.

Aim: To evaluate the conservative treatments for GTPS.

Design: This systematic review assessed risk of bias using the Cochrane Risk of Bias Tool and Cochrane Risk of Bias Tool for non-randomised studies of interventions. Read More

Rambam Maimonides Med J 2016 Oct 31;7(4). Epub 2016 Oct 31.

Hypermobility Unit, London and Centre for Rheumatology, Division of Medicine, University College London, London, UK.

Ehlers-Danlos syndrome (EDS)-hypermobility type (HT) is considered to be the most common subtype of EDS and the least severe one; EDS-HT is considered to be identical to the joint hypermobility syndrome and manifests with musculoskeletal complaints, joint instability, and soft tissue overuse injury. Musculoskeletal complaints manifest with joint pain of non-inflammatory origin and/or spinal pain. Joint instability leads to dislocation or subluxation and involves peripheral joints as well as central joints, including the temporomandibular joints, sacroiliac joints, and hip joints. Read More

Arch Orthop Trauma Surg 2016 Nov 12;136(11):1547-1554. Epub 2016 Jul 12.

Western Health, Melbourne, VIC, Australia.

Introduction: Greater trochanteric pain syndrome (GTPS), previously referred as trochanteric bursitis, is a debilitating condition characterised by chronic lateral hip pain. The syndrome is thought to relate to gluteal tendinopathy, with most cases responding to non-operative treatment. A number of open and endoscopic surgical techniques targeting the iliotibial band, trochanteric bursa and gluteal tendons have, however, been described for severe recalcitrant cases. Read More

Z Orthop Unfall 2016 Jun 28;154(3):307-20. Epub 2016 Jun 28.

Univ.-Klinik für Orthopädie, PMU Salzburg, Österreich.

Gluteal tendinopathy as well as partial and full-thickness tears of gluteal tendons (gluteus minimus and/or medius tendon) were underestimated as a cause of chronic pain in the past, and treatment was most commonly based on the diagnosis of trochanteric bursitis. Tendinous pathologies can either stay asymptomatic or cause pain and muscular dysfunction, not necessarily being associated with osteoarthritis of the hip 1. As the terminus "rotator cuff tear of the hip" was published in 1997 2, its aetiopathogenesis was reconsidered, resulting in improvements in diagnosis and treatment. Read More

Clin Sports Med 2016 Jul 28;35(3):419-433. Epub 2016 Mar 28.

Tennessee Orthopaedic Alliance, The Lipscomb Clinic, Saint Thomas West Hospital, Medical Plaza East, Suite 1000, 4230 Harding Road, Nashville, TN 37205, USA. Electronic address:

Disorders of the iliopsoas can be a significant source of groin pain in the athletic population. Commonly described pathologic conditions include iliopsoas bursitis, tendonitis, impingement, and snapping. The first-line treatment for iliopsoas disorders is typically conservative, including activity modification, physical therapy, nonsteroidal anti-inflammatory drugs, and corticosteroid injections. Read More

BMC Musculoskelet Disord 2016 Apr 30;17:196. Epub 2016 Apr 30.

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, 4072, Australia.

Background: Lateral hip pain is common, particularly in females aged 40-60 years. The pain can affect sleep and daily activities, and is frequently recalcitrant. The condition is often diagnosed as trochanteric bursitis, however radiological and surgical studies have revealed that the most common pathology is gluteus medius/minimus tendinopathy. Read More

J Pediatr Orthop B 2016 Jul;25(4):315-21

aThe Micheli Center for Sports Injury Prevention, WalthambDepartment of Orthopedics, Division of Sports MedicinecDepartment of Pediatrics, Division of Emergency Medicine, Boston Children's HospitaldHarvard Medical SchooleDepartment of Physical Therapy & Athletic Training, Boston University, Boston, Massachusetts, USA.

Unlabelled: To compare sports-related hip injuries on the basis of sex and age in a cohort of young athletes. A 5% random probability sample of all new patients' charts over a 10-year time period was selected for investigation. The most common hip injury diagnoses, sport at time of injury, mechanism (acute/traumatic vs. Read More

J Am Acad Orthop Surg 2016 Apr;24(4):231-40

From the Department of Orthopedic Surgery, Mayo Clinic, Jacksonville, FL (Dr. Redmond), the American Hip Institute, Chicago IL (Dr. Chen and Dr. Domb), and Hinsdale Orthopaedics, Westmont, IL (Dr. Domb).

Patients who have lateral hip pain historically have been diagnosed with trochanteric bursitis and treated with nonsteroidal anti-inflammatory medications, corticosteroid injections, and physical therapy. Although this strategy is effective for most patients, a substantial number of patients continue to have pain and functional limitations. Over the past decade, our understanding of disorders occurring in the peritrochanteric space has increased dramatically. Read More

J Orthop 2016 Mar 22;13(1):15-28. Epub 2016 Jan 22.

The University of Salford, The Crescent, Salford M5 4WT, United Kingdom.

Greater trochanteric pain syndrome (GTPS) is a common cause of lateral hip pain. Most cases respond to conservative treatments with a few refractory cases requiring surgical intervention. For many years, this condition was believed to be caused by trochanteric bursitis, with treatments targeting the bursitis. Read More

Orthop Traumatol Surg Res 2016 05 3;102(3):391-5. Epub 2016 Mar 3.

Clinique Médipole-Garonne, 45, rue Gironis, 31036 Toulouse cedex 1, France.

Introduction: Various surgical treatments have been proposed for greater trochanteric pain syndrome (GTPS) related to gluteal tendinopathy with partial thickness tears. The clinical results of endoscopic debridement without repair of these gluteal tears are not well known. The objectives of this study were to determine if this procedure leads to: (1) reduction of pain, (2) functional improvement, (3) patient satisfaction (on scale of 0 to 10). Read More

Am Fam Physician 2015 Oct;92(8):694-9

St. Joseph Mercy Livingston Family Medicine Residency, Brighton, MI, USA.

Family physicians considering corticosteroid injections as part of a comprehensive treatment plan for musculoskeletal diagnoses will find few high-quality studies to assist with evidence-based decision making. Most studies of corticosteroid injections for the treatment of osteoarthritis, tendinopathy, bursitis, or neuropathy include only small numbers of patients and have inconsistent long-term follow-up. Corticosteroid injections for the treatment of adhesive capsulitis result in short-term improvements in pain and range of motion. Read More

J Orthop Sports Phys Ther 2015 Nov 17;45(11):910-22. Epub 2015 Sep 17.

Synopsis Gluteal tendinopathy is now believed to be the primary local source of lateral hip pain, or greater trochanteric pain syndrome, previously referred to as trochanteric bursitis. This condition is prevalent, particularly among postmenopausal women, and has a considerable negative influence on quality of life. Improved prognosis and outcomes in the future for those with gluteal tendinopathy will be underpinned by advances in diagnostic testing, a clearer understanding of risk factors and comorbidities, and evidence-based management programs. Read More

Skeletal Radiol 2015 Dec 11;44(12):1727-33. Epub 2015 Aug 11.

Department of Radiology, Thomas Jefferson University Hospital, 132 S. 10th Street, Philadelphia, PA, 19107, USA.

Purpose: To evaluate gluteus medius and minimus tendon pathology and muscle atrophy in older individuals using MRI.

Methods: A retrospective MRI study of 185 individuals was performed. The inclusion criterion was age ≥50. Read More

Arthroscopy 2015 Oct 29;31(10):2057-67.e2. Epub 2015 May 29.

American Hip Institute, Westmont, Illinois, U.S.A.; Hinsdale Orthopaedics, Westmont, Illinois, U.S.A.; Loyola University Chicago Stritch School of Medicine, Chicago, Illinois, U.S.A.. Electronic address:

Purpose: To compare the outcome of open versus endoscopic gluteal tendon repair.

Methods: An extensive review of PubMed was conducted by 2 independent reviewers for articles containing at least 1 of the following search terms: gluteus medius, gluteus medius tear, gluteus medius tendinopathy, gluteus medius repair, hip abductors, hip abductor tears, hip abductor repair, hip rotator cuff, hip rotator cuff repair, trochanteric bursa, trochanteric bursitis, trochanteric bursectomy, peritrochanteric procedures, peritrochanteric repair, and peritrochanteric arthroscopy. This yielded 313 articles. Read More

Rofo 2015 Apr 27;187(4):297-8. Epub 2015 Mar 27.

J Clin Rheumatol 2015 Mar;21(2):99-101

From the *Rheumatology Unit, Internal Medicine Department, and University Institute; and †Radiology Department, Hospital Italiano de Buenos Aires; and ‡Fundacion Dr Pedro M. Catoggio para el Progreso de la Reumatología, Buenos Aires, Argentina.

Mod Rheumatol 2015 Sep 12;25(5):761-7. Epub 2015 Jun 12.

a Department of Radiology , St. Luke's International Hospital , Tokyo , Japan.

Objectives: The purpose of this study is to evaluate magnetic resonance imaging (MRI) findings of the shoulder and hip joint in patients with polymyalgia rheumatica (PMR).

Methods: MR images of a total of 25 PMR patients (23 shoulders and 6 hips), 43 rheumatoid arthritis (RA) patients (22 shoulders and 22 hips), and 50 control patients (25 shoulders and 25 hips) were examined. The following MRI findings were evaluated: In the shoulder, thickness and abnormalities of the supraspinatus tendon, effusion around the glenohumeral joint, subacromial-subdeltoid bursa, and the biceps tendon; In the hip, effusion around the acetabulofemoral joint, iliopsoas bursa, and trochanteric bursa. Read More

Phys Ther Sport 2015 Aug 26;16(3):205-14. Epub 2014 Nov 26.

UT Southwestern Medical Center School of Health Professions, Department of Physical Therapy, 5323 Harry Hines Blvd, Dallas, TX 75390-8876, USA.

Greater trochanteric pain syndrome is an enigmatic but common cause of lateral hip symptoms in middle-aged active women. The most common manifestation of this syndrome is a degenerative tendinopathy of the hip abductors similar to the intrinsic changes seen with rotator cuff pathology in the shoulder. There are no definitive tests to isolate the underlying pathology and palpation is a non-specific means by which to differentiate the source of the pain generator. Read More

Skeletal Radiol 2015 Jan 27;44(1):47-54. Epub 2014 Aug 27.

Department of Medical Imaging, University of Saskatchewan, Saskatoon, SK, Canada,

Objective: Gluteal tendinopathy and greater trochanteric pain syndrome (GTPS) remain incompletely understood despite their pervasiveness in clinical practice. To date, no study has analyzed the morphometric characteristics of the hip on magnetic resonance imaging (MRI) that may predispose to gluteal tendinopathy. This study aimed to evaluate whether acetabular anteversion (AA), femoral neck anteversion (FNA), and femoral neck-shaft angle (FNSA) are associated with MRI features of gluteal tendinopathy. Read More

Eur J Radiol 2014 Oct 28;83(10):1850-5. Epub 2014 Jun 28.

Department of Medical Imaging, University Hospital of Heraklion and Radiology Section, Medical School University of Crete, Greece. Electronic address:

Objective: Greater trochanter pain syndrome (GTPS) is a diverse clinical entity caused by a variety of underlying conditions. We sought to explore the impact of (1) hip morphology, namely the center-edge angle (CEa) and femoral neck-shaft (NSa) angle, (2) hip abductor tendon degeneration, (3) the dimensions of peritrochanteric edema and (4) bursitis, on the presence of GTPS, using MR imaging.

Materials And Methods: The presence of pain was prospectively assessed blindly by the senior author. Read More

Phys Med Rehabil Clin N Am 2014 May 18;25(2):279-89. Epub 2014 Mar 18.

Department of Radiology, Jefferson Medical College of Thomas Jefferson University, 132 South 10th Street, Philadelphia, PA 19107, USA.

Lateral hip pain, or greater trochanteric pain syndrome, is a commonly seen condition; in this article, the relevant anatomy, epidemiology, and evaluation strategies of greater trochanteric pain syndrome are reviewed. Specific attention is focused on imaging of this syndrome and treatment techniques, including ultrasound-guided interventions. Read More

Arthroscopy 2014 Jun 3;30(6):688-94. Epub 2014 Apr 3.

Division of Sports Medicine, Department of Orthopedic Surgery and Rehabilitation Medicine, University of Wisconsin, Madison, Wisconsin, U.S.A.. Electronic address:

Purpose: To document the clinical results of arthroscopic iliopsoas tenotomies performed at the level of the labrum to treat labral injuries caused by iliopsoas impingement.

Methods: From a review of the database of the senior author (J.S. Read More

J Rheumatol 2014 Apr 1;41(4):730-4. Epub 2014 Mar 1.

From the Department of Rheumatology/Clinical Immunology, Asklepios Clinic, Bad Abbach; and Department of Internal Medicine I, University Medical Centre, Regensburg, Germany.

Objective: To assess joint involvement and the contribution of musculoskeletal ultrasound (MSUS) to the novel European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) 2012 classification criteria in patients with polymyalgia rheumatic (PMR).

Methods: MSUS was performed in 54 consecutive patients with recent-onset PMR.

Results: Biceps tenosynovitis of at least 1 shoulder has been observed in 70. Read More

Arthroscopy 2014 Feb;30(2):155

Ann Arbor, Michigan.

Arthroscopy 2014 Feb;30(2):153-5

Cambridge, England.

Orthopade 2014 Jan;43(1):105-16; quiz 117-8

Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstraße 22, 81675, München, Deutschland,

Greater trochanteric pain is one of the common complaints in orthopedics. Frequent diagnoses include myofascial pain, trochanteric bursitis, tendinosis and rupture of the gluteus medius and minimus tendon, and external snapping hip. Furthermore, nerve entrapment like the piriformis syndrome must be considered in the differential diagnosis. Read More

Int J Rheum Dis 2014 Jul 6;17(6):621-7. Epub 2013 Dec 6.

Department of Medicine, The Queen Elizabeth Hospital Adelaide, Adelaide, South Australia, Australia.

Aim: To assess the outcomes for patients seen in a rheumatology service presenting with features of the greater trochanteric pain syndrome (GTPS) and the impact of imaging results on the outcomes of treatment.

Methods: Retrospective audit, using a phone interview was performed to establish links between results of imaging undertaken in the diagnostic work-up of patients with lateral hip pain and clinical outcomes for these patients. Patient perceptions of the effectiveness of interventions were also assessed. Read More

J Arthroplasty 2014 Feb 5;29(2):383-6. Epub 2013 Nov 5.

ANU Medical School, Australian National University, Canberra, Australia; Trauma and Orthopaedic Research Unit at the Canberra Hospital, Canberra, Australia.

Musculoskeletal injury causes pain and when chronic can affect mental health, employment and quality of life. This study examined work participation, function and quality of life in people with greater trochanteric pain syndrome (GTPS, n=42), severe hip osteoarthritis (OA, n=20) and an asymptomatic group (ASC, n=23). No differences were found between the symptomatic groups on key measures, both were more affected than the ASC group, they had lower quality of life score (p<0. Read More

AJR Am J Roentgenol 2013 Nov;201(5):1083-6

1 Department of Radiology, Thomas Jefferson University Hospital, 132 South 10th St, Ste 796 C, Philadelphia, PA 19107.

Objective: Greater trochanteric pain syndrome is a common condition with clinical features of pain and tenderness at the lateral aspect of the hip. Diagnosing the origin of greater trochanteric pain is important because the treatment varies depending on the cause. We hypothesized that sonographic evaluation of sources for greater trochanteric pain syndrome would show that bursitis was not the most commonly encountered abnormality. Read More

Acta Chir Orthop Traumatol Cech 2013 ;80(4):256-62

Ortopedické oddělení pro diagnostiku a léčbu osteoartikulární tuberkulózy OLÚ Jevíčko.

Purpose Of The Study: Tuberculosis (TB) in a joint region presents high risk of damage to the joint. Consequences of a late diagnosis and inadequate therapy may be serious particularly in the large joints of lower extremities. Tuberculosis of knee and hip joints accounts for about 25% to 35% of osteoarticular tuberculosis (OAT). Read More

J Bone Joint Surg Am 2013 Aug;95(15):1420-5

Department of Orthopaedic Surgery, Aurora Sinai Medical Center, 945 North 12th Street, Suite 1200, Milwaukee, WI 53233, USA.

Background: Greater trochanteric pain syndrome is a common orthopaedic condition related to underlying bursitis, but it may reflect gluteal tendinopathy with tendon disruption from the greater trochanter. Our goal was to evaluate our clinical experience with surgical repair of these tears.

Methods: We retrospectively evaluated a consecutive series of twenty-two patients (twenty-three hips) with a tear of the hip abductor tendons who underwent surgical reconstruction and were followed for a minimum of five years. Read More

Semin Musculoskelet Radiol 2013 Jul 20;17(3):295-305. Epub 2013 Jun 20.

Radiological Associates Medical Group, San Jose, California, USA.

The lateral aspect of the hip is composed of a complex array of osseous and soft tissue structures. Both common and uncommon clinical entities are encountered in the lateral hip. This article briefly introduces fundamental imaging anatomy and the functional roles of different osseous and soft tissue structures in the lateral aspect of the hip, followed by a discussion of relevant imaging findings of lateral hip pathology. Read More

Semin Musculoskelet Radiol 2013 Feb 13;17(1):43-8. Epub 2013 Mar 13.

Department of Diagnostic Radiology, Innsbruck Medical University, Innsbruck, Austria.

Pain around the greater trochanter is still a common clinical problem that may be secondary to a variety of either intra-articular or periarticular pathologies. Gluteal tendon pathologies are one of the primary causes of greater trochanteric pain, with attrition of the fasciae latae against the gluteus medius and minimus tendons, and the trochanteric bursa being possible causes. Key sonographic findings of gluteal tendinopathy, bursitis, and differential diagnosis are described in this overview. Read More

Clin Exp Rheumatol 2012 Sep-Oct;30(5):652-7. Epub 2012 Oct 17.

Dipartimento di Medicina Interna e Specialità Mediche, Sapienza Università di Roma, Rome, Italy.

Objectives: To investigate the prevalence of ultrasound (US) detectable abnormalities in the hip joints of patients with osteoarthritis (OA) and correlate them with clinical findings and measures of disease severity.

Methods: Consecutive patients with hip OA were investigated by clinical and US examinations. Bilateral US of the hip joints was performed by using a Logiq9 machine, equipped with a multi-frequency linear probe, operating at 9 MHz; in addition, power Doppler (PD) was applied (frequency 7. Read More

Curr Sports Med Rep 2012 Sep-Oct;11(5):232-8

VCU-Fairfax Family Practice Sports Medicine Fellowship, Fairfax, VA 22033, USA.

Disorders causing lateral hip pain are encountered frequently by physicians. Evaluating these problems can be challenging because of the myriad of potential causes, the complex anatomy of the peritrochanteric structures, and the inconsistently described etiologic factors. Misconceptions about the causes of lateral hip pain and tenderness are common, frequently leading to approaches that only provide temporary solutions rather than address the underlying pathology. Read More

Med Ultrason 2012 Sep;14(3):217-24

Centre of Rheumatology St. Irina, Sofia, Bulgaria.

A complete physical examination of the hip is often difficult due to its size and deep position. During the last two decades, ultrasonography (US) of the hip has been widely accepted as a useful diagnostic tool in patients with hip pain and /or limited range of motion. It is commonly used in both adults and children. Read More

J Bone Joint Surg Br 2011 Oct;93(10):1300-2

The Richard Villar Practice, Spire Cambridge Lea Hospital, 30 New Road, Impington, Cambridge CB24 9EL, UK.

Femoroacetabular impingement is a well-documented cause of hip pain. There is, however, increasing evidence for the presence of a previously unrecognised impingement-type condition around the hip - ischiofemoral impingement. This is caused by abnormal contact between the lesser trochanter of the femur and the ischium, and presents as atypical groin and/or posterior buttock pain. Read More

Arthroscopy 2011 May;27(5):619-27

John G. Rangos Sr. School of Health Sciences, Duquesne University, Pittsburgh, Pennsylvania 15282, USA.

Purpose: The purpose of this study was to compare the percent relief from injection among subjects with arthroscopic findings of femoroacetabular impingement (FAI) and labral and chondral pathologies while controlling for coexisting extra-articular pathology.

Methods: We retrospectively reviewed 72 consecutive subjects (54 female and 18 male subjects), aged 29.9 ± 10. Read More