Search Our Scientific Publications & Authors

Skeletal Radiol 2022 Aug 9. Epub 2022 Aug 9.

Department of Pathology, Daejeon St. Mary's Hospital, The Catholic University of Korea, Daejeon, Korea.

The risk of tuberculosis (TB) increases in immunocompromised patients. Multiple myeloma is considered a risk factor for TB and myeloma patients with TB have a higher mortality rate than those without TB. Herein, we report a case of concomitant TB of the iliotibial band mimicking a soft tissue tumor and tuberculous trochanteric bursitis in a patient with multiple myeloma. Read More

Perm J 2022 Jun 15;26(2):83-88. Epub 2022 Jun 15.

Department of Orthopaedic Surgery, Boston Medical Center, Boston, MA, USA.

The purpose of this article is to provide a synopsis of the current medical understanding of lateral hip pain, highlighting greater trochanteric pain syndrome (GTPS) and its relation to lateral hip pain. Common causes of lateral hip pain, GTPS as a cause of lateral hip pain, prevalence of GTPS, clinical presentation of GTPS, associated risk factors, history and physical examination, laboratory testing, diagnostic imaging, and treatment options are described. A quiz serves to assist readers in their understanding of the presented material. Read More

Dan Med J 2022 Jun 15;69(7). Epub 2022 Jun 15.

H-HiP, Department of Orthopedic Surgery, Horsens Regional Hospital.

Introduction: Bursitis at the greater trochanter has historically been identified as a major pain generator in patients with lateral hip pain (LHP). We believe that hip abductor tendon pathology (HATP) plays an important and overlooked role in LHP. The purpose of this study was to evaluate the presence of isolated trochanteric bursitis on MRI in patients with refractory LHP. Read More

PLoS One 2022 24;17(6):e0269230. Epub 2022 Jun 24.

Department of Physical Education, Institute of Biosciences, São Paulo State University (UNESP), Rio Claro, São Paulo, Brazil.

Introduction: Greater trochanteric pain syndrome is an overarching term used to define pain and tenderness in the greater trochanteric region of the femur, which is more common in women. Abnormal control of lower limb movements and deficient neuromuscular parameters may lead to greater trochanteric pain syndrome; however, no studies have used neuromuscular training as a treatment strategy. Thus, this study aims to compare the effect of a protocol of general exercises versus a program of motor control training on pain at baseline and after treatment in women with greater trochanteric pain syndrome. Read More

Arthroscopy 2022 06;38(6):1900-1903

The Fourth Medical Center, Chinese PLA General Hospital, Beijing, China.

Patients with femoroacetabular impingement syndrome (FAIS) often have extra-articular disorders, such as external snapping hip (ESH). We recommend that obvious ESH be addressed by endoscopic transversal iliotibial band (ITB) release during hip arthroscopy for FAIS because the residual serious snapping caused by ESH negatively affects the outcome of hip arthroscopy. However, for mild ESH without indications for severe trochanteric bursitis on magnetic resonance imaging, we still propose that physical therapy, extracorporeal shock wave therapy, or local injection be performed for pain relief. Read More

Orthop Traumatol Surg Res 2022 06 11;108(4):103312. Epub 2022 May 11.

Ramsay Santé, centre orthopédique Santy, hôpital privé Jean Mermoz, 24, avenue Paul-Santy, 69008 Lyon, France. Electronic address:

The goal of this study was to describe and evaluate endoscopic bursectomy combined with fascia lata lengthening in the treatment of type I and II greater trochanteric pain syndrome recalcitrant to conservative management. This was a retrospective study of 20 patients (7 type I, 13 type II) reviewed with a minimum follow-up of 2 years. The mean follow-up was 44±11 [26-65] months. Read More

Am J Sports Med 2022 05;50(6):1603-1608

Steadman Hawkins Clinic of the Carolinas, Prisma Health-Upstate, Greenville, South Carolina, USA.

Background: Patients with gluteus medius tendinopathy present with laterally based hip pain that can be diagnosed under the greater trochanteric pain syndrome diagnosis. Magnetic resonance imaging (MRI) can assist in diagnosing pathology of the symptomatic hip, and when a pelvic MRI that includes both hips, the clinician may identify asymptomatic tears in the nonsurgical hip. In patients who undergo unilateral gluteus medius repairs, little is known about the prevalence or subsequent onset of clinical symptoms in the nonsurgical hip. Read More

Arthroscopy 2022 05;38(5):1506-1508

Akron, Ohio.

The hip can have a multitude of different pathologies leading to different symptoms. Greater trochanteric pain syndrome, historically attributed to bursitis, has been largely found to be associated with lesions of the gluteus medius and minimus tendons, and the prevalence of gluteus medius pathology in patients with femoroacetabular impingement (FAI) is as high as one-third of the FAI population. If a patient is found to have significant clinical symptoms of both FAI and a gluteus medius tear, it is imperative to fix both pathologies. Read More

Int J Sports Phys Ther 2022 1;17(3):508-518. Epub 2022 Apr 1.

Department of Physical Therapy, Duquesne University.

Greater trochanteric pain syndrome (GTPS) refers to pain in the lateral hip and thigh and can encompass multiple diagnoses including external snapping hip (coxa saltans), also known as proximal iliotibial band syndrome, trochanteric bursitis, and gluteus medius (GMed) or gluteus minimus (GMin) tendinopathy or tearing. GTPS presents clinicians with a similar diagnostic challenge as non-specific low back pain with special tests being unable to identify the specific pathoanatomical structure involved and do little to guide the clinician in prescription of treatment interventions. Like the low back, the development of GTPS has been linked to faulty mechanics during functional activities, mainly the loss of pelvic control in the frontal place secondary to hip abductor weakness or pain with hip abductor activation. Read More

BJR Case Rep 2022 Mar 9;7(6):20210075. Epub 2022 Mar 9.

Department of Radiology, London North West University Healthcare NHS Trust, London, United Kingdom.

Hydroxyapatite crystal deposition disease (HADD) around the hip is typically described involving the gluteal tendons. However, HADD can occur in any location and result in varied clinical presentations. Even with small deposits, symptoms can be significant and imaging findings may appear aggressive, mimicking infection and malignancy particularly when in an atypical location. Read More

Br J Radiol 2022 Apr 11;95(1132):20210940. Epub 2022 Feb 11.

Chapel Allerton Hospital, Leeds Teaching Hospital NHS Trust, Leeds, UK.

Objectives: To validate reliability of slice-encoding for metal artefact correction (SEMAC)-MRI findings in prosthesis loosening detection by comparing them to surgical outcomes (gold standard) in symptomatic patients following hip arthroplasties. To evaluate periprosthetic anatomical structures in symptomatic patients to identify an alternative cause of hip symptoms.

Methods: We prospectively followed 47 symptomatic patients (55 hips, 39 painful hips - group P and 16 control hips - group C) at our institution from 2011 to 2016. Read More

Arthrosc Sports Med Rehabil 2022 Jan 28;4(1):e41-e50. Epub 2022 Jan 28.

National Rehabilitation Institute of Mexico, Mexico City, Mexico.

We reviewed the current literature regarding rehabilitation after gluteus medius and minimus tears as part of a conservative management or postoperative protocol. The greater trochanteric pain syndrome includes a constellation of pathologies that generate pain in the greater trochanteric region and may be accompanied by varying degrees of hip abductor disfunction. It may be related to tendinitis of the gluteus medius and minimus, greater trochanteric bursitis, or even formal tears of the hip abductor tendons. Read More

Prim Care 2022 Mar 5;49(1):119-130. Epub 2022 Jan 5.

Department of Family and Community Medicine, University of Kentucky, 2195 Harrodsburg Road, Suite 125, Lexington, KY 40504, USA.

Olecranon bursitis, greater trochanteric bursitis, medial epicondylosis, and lateral epicondylosis are common diagnoses encountered in primary care and sports medicine clinics. This section explores the anatomy, clinical presentation, evaluation, procedural techniques, and management to effectively treat these common conditions. Read More

Scand J Pain 2022 Jul 7;22(3):506-514. Epub 2022 Feb 7.

University of Queensland School of Health and Rehabilitation Sciences: Physiotherapy, The University of Queensland, St Lucia, QLD 4102, Australia.

Objectives: To assess the agreements and differences in pain drawings (pain area, shape and location) between individuals who have greater trochanteric pain syndrome (GTPS) and their clinician.

Methods: In this study, 23 patients with GTPS (21 female, pain duration range 8-24 months) underwent clinical evaluation by a registered physiotherapist. Digital 2d full body pain drawings were independently performed by the clinician during the subjective examination and by the patient following the physical examination. Read More

Arthroplast Today 2022 Feb 18;13:125-129. Epub 2022 Jan 18.

The Bone & Joint Center, Magee Women's Hospital of the University of Pittsburgh Medical Center, Pittsburgh, PA.

Background: Adverse local tissue reaction (ALTR) is a recognized complication of total hip arthroplasty (THA) with metal-on-polyethylene (MoP) bearing surface implants. Specific models of THA implants have been identified as having a higher incidence of ALTR. The purpose of this study is to determine if serum metal levels, patient symptoms, implant factors, and imaging findings can be predictive of ALTR within this high-risk population. Read More

Zhongguo Gu Shang 2021 Dec;34(12):1158-64

Department of Orthopaedics, Graduate School of Peking Union Medical College, China-Japan Friendship Hospital, Beijing 100029, China.

Objective: To explore the clinical efficacy of focused extracorporeal shock wave therapy with centrifugal exercise in the treatment of greater trochanteric pain syndrome.

Methods: From September 2017 to June 2019, 53 eligible cases of greater trochanteric pain syndrome were randomly divided into observation group (29 cases) and control group (24 cases). In observation group, there were 8 males and 21 females, aged from 38 to 62 years old with an average of (49. Read More

BMC Musculoskelet Disord 2021 Dec 20;22(1):1048. Epub 2021 Dec 20.

Faculty of Health, University of Canberra, 11 Kirinari St, Bruce, ACT, 2617, Australia.

Background: Greater trochanteric pain syndrome (GTPS) is a musculoskeletal condition which can cause disability and reduce quality of life. However, limited evidence is available on the long-term outcomes of people with GTPS. Our aims were to determine the long-term prevalence of GTPS; to calculate the proportion of people with GTPS who had developed hip osteoarthritis (OA); and to determine the level of function and quality of life, 11-years after initial GTPS diagnosis. Read More

Iowa Orthop J 2021 12;41(2):45-57

Columbia University Irving Medical Center, New York, NY, USA.

Background: While excision of the trochanteric bursae to treat lateral hip pain has increased in popularity, no comparison exists between the surgical outcomes and complications of the open and arthroscopic techniques involving trochanteric bursectomy. The purpose of this study was to determine the efficacies and complication rates of arthroscopic and open techniques for procedures involving trochanteric bursectomy.

Methods: The terms "trochanteric," "bursectomy," "arthroscopic," "open," "outcomes," and "hip" were searched in five electronic databases. Read More

J Am Acad Orthop Surg 2021 Dec;29(24):e1282-e1290

From the Division of Sports Medicine, Department of Orthopedic Surgery, NYU Langone Medical Center, New York, NY.

Identifying the specific source of gluteal pain can elude the most seasoned orthopaedic diagnosticians. Patients will often present with a protracted course of symptoms, and failure to successfully identify and treat the underlying etiology leads to frustration for both patient and clinician. Pain deep in the buttocks can arise from compression, inflammation, or injury of one or more of the structures in this anatomically dense area. Read More

Clinics (Sao Paulo) 2021 26;76:e3312. Epub 2021 Nov 26.

Universidade Federal de Minas Gerais, Belo Horizonte, MG, BR.

Objectives: This study aimed to correlate a higher Pelvic-Trochanteric Index (PTI) with an increased varus of the femoral neck with greater trochanteric pain syndrome (GTPS). The secondary objective was to check whether the pelvic width changes with age.

Methods: A prospective study was conducted to compare female patients diagnosed with GTPS (case group) with asymptomatic female participants (control group) from March 2011 to June 2017. Read More

Ann Med Surg (Lond) 2021 Dec 17;72:103075. Epub 2021 Nov 17.

Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O.Box 166378, Achrafieh, Beirut, 1100 2807, Lebanon.

Background: The treatment of unstable fractures of the intertrochanteric region of the hip in the elderly is controversial. Conventionally, internal fixation with intramedullary nail or a dynamic hip screw is the treatment of choice in intertrochanteric fractures. Nowadays, some authors encouraged the use hip arthroplasty for management of these fractures with good outcome. Read More

Clin Transl Oncol 2022 May 22;24(5):846-853. Epub 2021 Nov 22.

Radiation Oncology Department, Hospital Clínic, Barcelona, Spain.

Purpose: This prospective study assessed the effects of low-dose radiotherapy in patients diagnosed with greater trochanteric pain syndrome (GTPS) with recurrent symptoms or refractory to previous conservative measures.

Methods: We evaluated a total of 155 patients (90.3% women, mean age 69 years). Read More

Hip Int 2021 Nov 17:11207000211060396. Epub 2021 Nov 17.

Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, UK.

Background: Greater trochanteric pain syndrome (GTPS) is a common problem with an incidence of 1.8-5.6 per 1000 population. Read More

Clin J Sport Med 2022 07 10;32(4):443. Epub 2021 Nov 10.

Faculty of Medicine, Extracorporeal Shock Wave Research Unit, Institute of Anatomy, LMU Munich, Munich, Germany.

Eur J Orthop Surg Traumatol 2021 Sep 22. Epub 2021 Sep 22.

Department of Orthopaedics, Balgrist University Hospital, University of Zurich, Forchstrasse 340, 8008, Zurich, Switzerland.

Background: External snapping hip syndrome (ESH) is postulated to be one of the causes of greater trochanteric pain syndrome, which also includes greater trochanteric bursitis and tendinopathy or tears of the hip abductor mechanism. However, it was not yet described what kind of bony morphology can cause the snapping and whether symptomatic and asymptomatic individuals have different imaging features.

Purpose: It was the purpose of this study to look for predisposing morphological factors for ESH and to differentiate between painful and asymptomatic snapping. Read More

Rheumatol Ther 2021 Dec 20;8(4):1897-1904. Epub 2021 Sep 20.

Dipartimento di Medicina e Scienze della Salute "Vincenzo Tiberio", Università degli Studi del Molise, Via Giovanni Paolo II, C/da Tappino, 86100, Campobasso, Italy.

Introduction: MRI allows a better evaluation of inflammatory and structural lesions of the sacroiliac joints and spine in patients with axial spondyloarthritis (axial SpA), so MRI plays an important role in the classification and diagnosis of axial SpA. The aim of our study was to assess extra-axial MRI findings at pelvic sites and their possible associations with clinical indices in patients with axial SpA.

Methods: Axial-SpA patients who were classified according to the ASAS criteria and consecutively attended our clinic were assessed with pelvic MRI. Read More

World J Orthop 2021 Aug 18;12(8):604-619. Epub 2021 Aug 18.

Department of Orthopaedic, Assiut University Hospital, Assiut 71515, Egypt.

Background: Femoral head fractures (FHFs) are considered relatively uncommon injuries; however, open reduction and internal fixation is preferred for most displaced fractures. Several surgical approaches had been utilized with controversial results; surgical hip dislocation (SHD) is among these approaches, with the reputation of being demanding and leading to higher complication rates.

Aim: To determine the efficacy and safety of SHD in managing FHFs by reviewing the results reported in the literature. Read More

Eur J Radiol 2021 Oct 9;143:109876. Epub 2021 Aug 9.

Universitair Ziekenhuis Brussel, Department of Radiology, Brussels, Belgium. Electronic address:

Purpose: Tendon pathology around the hip is a common entity. The aim of this study was to detect tendon abnormalities around the hip in a population of asymptomatic volunteers.

Materials And Methods: Fifty volunteers (100 hips) referred for non-musculoskeletal conditions were evaluated with an additional coronal STIR-weighted MRI imaging on a 1. Read More

Br Med Bull 2021 09;139(1):86-99

Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081 Baronissi (SA), Italy.

Introduction: Greater trochanter pain syndrome (GTPS) is characterized by a persistent and debilitating pain around the greater trochanter. GTPS can be caused by a combination of gluteus medius or minimus tendinopathy, snapping hip or trochanteric bursitis.

Source Of Data: Recent published literatures identified from PubMed, EMBASE, Google Scholar, Scopus. Read More