327 results match your criteria Trochanteric Bursitis


Mycoplasma hominis bursitis in a simultaneous pancreas-kidney transplant recipient; case report and literature review.

Transpl Infect Dis 2020 Jun 30:e13392. Epub 2020 Jun 30.

College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.

Mycoplasma hominis can be isolated frequently from the genitourinary tract of some healthy individuals. On rare occasions, it acts as a pathogen in immunocompromised patients such as transplant recipients. Here we describe the case of a 39 year-old-man with end stage kidney disease secondary to diabetic nephropathy who received a simultaneous kidney-pancreas transplant. Read More

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http://dx.doi.org/10.1111/tid.13392DOI Listing

Treatment of displaced intracapsular fractures of the femoral neck with total hip arthroplasty or hemiarthroplasty.

Bone Joint J 2020 Jun;102-B(6):693-698

Norfolk and Norwich University Hospital, Norwich, UK.

Aims: Despite few good-quality studies on the subject, total hip arthroplasty (THA) is increasingly being performed for displaced intracapsular fractures of the neck of femur. We compared outcomes of all patients with displacement of these fractures treated surgically over a ten-year period in one institution.

Methods: A total of 2,721 patients with intracapsular fractures of the femoral neck treated with either a cemented hemiarthroplasty or a THA at a single centre were retrospectively reviewed. Read More

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http://dx.doi.org/10.1302/0301-620X.102B6.BJJ-2019-1459.R1DOI Listing

Integrating Osteopathic Manipulative Treatment and Injections in the Diagnosis and Management of a Hip Labral Tear.

J Am Osteopath Assoc 2020 Jun;120(6):421-424

Hip pain in adults is a common complaint. Secondary processes can often mask underlying conditions, prolonging the course to diagnosis and definitive treatment. In this case, a 74-year-old man presented to an outpatient clinic after 6 weeks of right hip pain that began upon initiation of a rehabilitation program following coronary artery bypass graft surgery. Read More

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http://dx.doi.org/10.7556/jaoa.2020.065DOI Listing

Ultrasound Definitions and Findings in Greater Trochanteric Pain Syndrome: A Systematic Review.

Ultrasound Med Biol 2020 Jul 5;46(7):1584-1598. Epub 2020 May 5.

Center for General Practice at Aalborg University, Aalborg, Denmark.

Ultrasound (US) assists in the determination of the pathology underlying greater trochanteric pain syndrome (GTPS); however, there exists no consensus regarding the US criteria used to define these pathologies. We aim to explore these US definitions and their associated prevalence. "Trochanteric bursitis" was defined in 10 studies (13 included studies) and was heterogeneously described. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2020.03.008DOI Listing

Dynamic ultrasound-guided trochanteric bursal injection.

Skeletal Radiol 2020 Jul 31;49(7):1155-1158. Epub 2020 Mar 31.

Department of Radiology, St Paul's Hospital, University of British Columbia, Vancouver, BC, V5Z 1M9, Canada.

Injection of steroid and anesthetic into the greater trochanteric bursa is commonly performed for trochanteric bursitis, gluteus medius/minimus tendinopathy, or as a part of a barbotage procedure for gluteus medius or minimus calcific tendonosis. Trochanteric bursal injection is widely performed both with and without image guidance, and is typically viewed as low-difficulty; however optimum needle tip position can be challenging. We discuss a simple dynamic technique to aid the practitioner in optimal needle placement. Read More

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http://dx.doi.org/10.1007/s00256-020-03411-1DOI Listing

Editorial Commentary: Platelet-Rich Plasma Versus Surgery for Hip Greater Trochanteric Pain Syndrome-Systematic Reviews Made Difficult by the Use of Vague Terms.

Authors:
Arpad Konyves

Arthroscopy 2020 03;36(3):889-890

Greater trochanteric pain syndrome responds favorably to platelet-rich plasma and surgery as measured by patient-reported outcomes, with a lesser complication rate with injections. Broad and inaccurate terminology makes data synthesis impossible and systematic reviews difficult to interpret. Read More

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http://dx.doi.org/10.1016/j.arthro.2019.12.019DOI Listing

Radiofrequency Microdebridement as an Adjunct to Arthroscopic Surgical Treatment for Recalcitrant Gluteal Tendinopathy: A Double-Blind, Randomized Controlled Trial.

Orthop J Sports Med 2020 Jan 24;8(1):2325967119895602. Epub 2020 Jan 24.

Sports Medicine Professionals, Richmond, Australia.

Background: Recalcitrant greater trochanteric pain is increasingly recognized as an indication for surgical intervention. The arthroscopic approach has become rapidly more common than the open alternative.

Hypothesis: Patients undergoing radiofrequency microdebridement (RFMD) as an adjunct to arthroscopic gluteal bursectomy (AGB) and iliotibial band release (ITBR) will experience better functional improvement than AGB and ITBR alone at 1 year. Read More

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http://dx.doi.org/10.1177/2325967119895602DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6984435PMC
January 2020

Spondyloarthropathy - Is sacroiliac joint imaging sufficient? A study of 431 patients.

Indian J Radiol Imaging 2019 Oct-Dec;29(4):372-377. Epub 2019 Dec 31.

Department of Radiology, Medanta-The Medicity, Gurugram, Haryana, India.

Background: Sacroiliac (SI) joint involvement (sacroiliitis) is considered as major criteria for diagnosing Spondyloarthropathy (SpA), although involvement of spine and hip can also occur. The aim of our study was to assess the utility of including sagittal short-tau inversion recovery (STIR) sequence of dorsolumbar spine and coronal STIR/proton density (PD) fat saturated sequence through both hips, to routine SI joint magnetic resonance (MR) imaging protocol, in patients clinically suspected to have SpA.

Material And Methods: A retrospective observational study was conducted between February 2013 and February 2018 on clinically suspected SpA patients referred to our department for imaging. Read More

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http://dx.doi.org/10.4103/ijri.IJRI_212_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958885PMC
December 2019

Acute Traumatic Tear of the Gluteus Medius and Gluteus Minimus in a Marathon Runner.

Ochsner J 2019 ;19(4):405-409

Ochsner Sports Medicine Institute, Ochsner Clinic Foundation, New Orleans, LA.

Tears of the gluteus medius and gluteus minimus are common causes of chronic lateral hip pain in the middle-aged population. These tears are postulated to occur after chronic degeneration of the muscle-tendon unit. The majority of these patients have a long history of peritrochanteric pain. Read More

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http://dx.doi.org/10.31486/toj.18.0090DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6928675PMC
January 2019

Surgical Treatment of Gluteus Medius Tears Augmented With Allograft Human Dermis.

Arthrosc Tech 2019 Nov 25;8(11):e1379-e1387. Epub 2019 Oct 25.

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, Missouri, U.S.A.

Greater trochanteric pain syndrome can be caused by gluteus medius and minimus tendinopathy/tears and chronic trochanteric bursitis. Specifically, moderate-to-severe abductor tendon tears can cause severe lateral hip pain, limp, and abnormal gait. A variety of open and endoscopic techniques to treat glut abductors hip tears have been described. Read More

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http://dx.doi.org/10.1016/j.eats.2019.07.014DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6926308PMC
November 2019

No attributable effects of PRP on greater trochanteric pain syndrome.

N Z Med J 2019 12 13;132(1507):22-32. Epub 2019 Dec 13.

Biostatistics and Computational Biology Unit, University of Otago, Christchurch; Department of Pathology and Biomedical Science, University of Otago, Christchurch.

Aims: To assess whether a single platelet-rich plasma (PRP) injection would reduce pain intensity in chronic greater trochanteric pain syndrome (GTPS).

Methods: Subjects with chronic lateral hip pain were randomised to either a PRP injection (intervention group) or a saline injection (control group) and both groups were prescribed identical eccentric exercise. Brief Pain Inventory (BPI), health professional consultation rate, medication use, Likert scale of progress, Expectation of Improvement Scale were assessed monthly for six months with a final follow-up one year after the intervention. Read More

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December 2019

Spinopelvic parameters in greater trochanteric pain syndrome: a retrospective case-control study.

Skeletal Radiol 2020 May 11;49(5):773-778. Epub 2019 Dec 11.

Ramsay Générale de Santé, Hôpital Privé Jean Mermoz, Centre Orthopédique Santy, 24 Avenue Paul Santy, 69008, Lyon, France.

Purpose: Greater trochanteric pain syndrome (GTPS) is a condition resulting in lateral hip pain, most commonly caused by tendinosis or tear of the gluteus medius and minimus tendons, and greater trochanteric bursitis. Our aim was to assess pelvic parameters and proximal femoral anatomy in patients suffering from surgical-stage GTPS compared with a control group.

Methods: This retrospective, case-control study assessed 43 patients suffering from GTPS, matched according to age, gender, body mass index and level of sport and physical activity to 43 control patients, between 2013 and 2018. Read More

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http://dx.doi.org/10.1007/s00256-019-03359-xDOI Listing

Atypical Hip Pain in Femoroacetabular Impingement: A Comparison of Outcomes Based on Primary Hip Pain Location.

Am J Sports Med 2020 01 25;48(1):167-172. Epub 2019 Nov 25.

NYU Langone Orthopedic Hospital, New York, New York, USA.

Background: Patients with symptomatic femoroacetabular impingement (FAI) typically have anterior groin pain. However, a subset of these patients may have pain located laterally, posteriorly, or in a combination of locations around the hip.

Purpose: To report and compare outcomes of hip arthroscopy for patients with FAI and atypical hip pain versus classic anterior groin pain. Read More

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http://dx.doi.org/10.1177/0363546519887733DOI Listing
January 2020
4.362 Impact Factor

The use of pelvic radiographs as a predictor for gluteal tendinopathy and bursitis.

Hip Int 2019 Sep 26:1120700019878417. Epub 2019 Sep 26.

Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.

Aim: To evaluate the relationship between radiographic measurements of the hip and sonographic evidence of gluteal tendinopathy and bursitis in patients with lateral hip pain.

Methods And Materials: Patients with lateral hip pain referred for ultrasound of the hip in our institution over a 5-year period were identified. Findings of gluteal tendinopathy and subgluteal or trochanteric bursitis on ultrasound were recorded. Read More

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http://dx.doi.org/10.1177/1120700019878417DOI Listing
September 2019
4 Reads

Physical findings differ between individuals with greater trochanteric pain syndrome and healthy controls: A systematic review with meta-analysis.

Musculoskelet Sci Pract 2019 10 25;43:83-90. Epub 2019 Jul 25.

School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, QLD, 4072, Australia. Electronic address:

Background: Understanding of the biopsychosocial characteristics of greater trochanteric pain syndrome (GTPS), a prevalent lower limb tendinopathy, is currently lacking.

Objectives: To quantify differences in participant characteristics between individuals with GTPS and healthy control participants.

Design: Systematic review of original studies with meta-analyses where appropriate. Read More

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http://dx.doi.org/10.1016/j.msksp.2019.07.009DOI Listing
October 2019
2 Reads

An international survey of current physiotherapy practice in diagnosis and knowledge translation of greater trochanteric pain syndrome (GTPS).

Musculoskelet Sci Pract 2019 10 25;43:122-126. Epub 2019 Jun 25.

UCRISE, Faculty of Health, University of Canberra, Australia. Electronic address:

Purpose: To evaluate how physiotherapists across three countries (Australia, New Zealand (NZ) and Ireland) diagnose greater trochanteric pain syndrome (GTPS) using clinical tests and imaging findings, and how physiotherapists update their knowledge regarding GTPS.

Design: Cross-sectional observational study of physiotherapists.

Methods: An online survey was distributed to registered physiotherapists in Australia, NZ and Ireland. Read More

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http://dx.doi.org/10.1016/j.msksp.2019.06.002DOI Listing
October 2019

Hip abductor tendon pathology visualized by 1.5 versus 3. 0 Tesla MRIs.

Arch Orthop Trauma Surg 2020 Feb 26;140(2):145-153. Epub 2019 Jun 26.

Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany.

Introduction: Hip abductor tendinopathies are becoming increasingly recognized as clinically relevant disorders. However, knowledge about prevalence of abductor tendinopathies and associated disorders of adjacent hip articular and periarticular structures is limited. In this context, the relative diagnostic value of 1. Read More

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http://dx.doi.org/10.1007/s00402-019-03228-1DOI Listing
February 2020
16 Reads

Painful Hip Arthroplasty: What Should We Find? Diagnostic Approach and Results.

J Arthroplasty 2019 Aug 13;34(8):1802-1807. Epub 2019 Apr 13.

Midwest Orthopaedics at Rush, Central Dupage Hospital, Chicago, IL.

Introduction: Identifying the source of pain is paramount for determining appropriate treatment and ensuring successful outcome in terms of management and relief of pain. The difficulty is that each surgeon has his or her own way of seeing the problem, and there is no consensus for the evaluation of these patients. The study hypothesis was that it is possible to find the cause of the pain in most cases. Read More

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http://dx.doi.org/10.1016/j.arth.2019.04.014DOI Listing
August 2019
29 Reads

The Modified Resisted Internal Rotation Test for Detection of Gluteal Tendon Tears.

Arthrosc Tech 2019 Mar 25;8(3):e331-e334. Epub 2019 Feb 25.

American Hip Institute, Westmont, Illinois, U.S.A.

Greater trochanteric pain syndrome (GTPS) has received increasing attention in recent years. Most patients with GTPS present with trochanteric bursitis and respond to nonoperative treatment. However, a subset of patients may have persistent lateral hip pain or recalcitrant GTPS resulting from an undiagnosed gluteal tendon tear. Read More

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http://dx.doi.org/10.1016/j.eats.2018.11.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6471346PMC
March 2019
21 Reads

Elusive trochanteric bursitis relief.

Authors:
Bruce Rothschild

Clin Rheumatol 2019 Jun 19;38(6):1793. Epub 2019 Apr 19.

Indiana University, Carnegie Museum, 4400 Forbes Ave, Pittsburgh, PA, 15213, USA.

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http://link.springer.com/10.1007/s10067-019-04560-y
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http://dx.doi.org/10.1007/s10067-019-04560-yDOI Listing
June 2019
19 Reads

Leucocyte-Rich Platelet-Rich Plasma Treatment of Gluteus Medius and Minimus Tendinopathy: A Double-Blind Randomized Controlled Trial With 2-Year Follow-up.

Am J Sports Med 2019 04 6;47(5):1130-1137. Epub 2019 Mar 6.

Research Centre for Translational Orthopaedic Research, Sir Charles Gairdner Hospital, Nedlands, Australia.

Background: A previously published trial showed that patients with chronic gluteal tendinopathy achieved greater clinical improvement at 12 weeks when treated with a single platelet-rich plasma (PRP) injection than those treated with a single corticosteroid injection (CSI).

Purpose: This follow-up study was conducted to determine whether there would be a sustained long-term difference in the modified Harris Hip Score (mHHS) at 2 years for a leucocyte-rich PRP (LR-PRP) injection in the treatment of chronic gluteal tendinopathy.

Study Design: Randomized controlled trial; Level of evidence, 1. Read More

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http://journals.sagepub.com/doi/10.1177/0363546519826969
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http://dx.doi.org/10.1177/0363546519826969DOI Listing
April 2019
28 Reads

Diagnosis and Management of Hip Abductor Insufficiency.

R I Med J (2013) 2018 Dec 3;101(10):46-50. Epub 2018 Dec 3.

Division of Sports Medicine, Department of Orthopaedic Surgery, Warren Alpert Medical School, Brown University.

Greater Trochanteric Pain Syndrome (GTPS) is a common cause of lateral hip pain, with an incidence of 1.8 per 1000 patients, most commonly occurring between the fourth and sixth decades of life. When GTPS fails to improve with conservative management, hip abductor insufficiency should be suspected. Read More

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December 2018
41 Reads

Tuberculous coxitis with trochanteric bursitis manifesting a year after immigration to Germany: a case report.

J Med Case Rep 2018 Nov 7;12(1):332. Epub 2018 Nov 7.

Hannover Medical University, Clinic for Immunology and Rheumatology, Carl-Neubergstr. 1, 30625, Hannover, Germany.

Background: Osteoarticular tuberculosis is rare in Germany. In particular, trochanteric bursitis is an extremely rare manifestation of osteoarticular tuberculosis. We describe a case of tuberculous coxitis with trochanteric bursitis, successfully treated with a fourfold tuberculostatic therapy. Read More

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https://jmedicalcasereports.biomedcentral.com/articles/10.11
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http://dx.doi.org/10.1186/s13256-018-1867-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220512PMC
November 2018
40 Reads

The use of platelet-rich plasma in the treatment of greater trochanteric pain syndrome: a systematic literature review.

J Hip Preserv Surg 2018 Aug 30;5(3):209-219. Epub 2018 Aug 30.

Trauma and Orthopedics, Northumbria Healthcare NHS foundation Trust, North Shields, UK.

This review aims to determine whether platelet-rich plasma (PRP) has any role in improving clinical outcomes in patients with symptomatic greater trochanteric pain syndrome (GTPS). A search of NICE healthcare database advanced search (HDAS) via Athens (PubMed, MEDLINE, CINAHL, EMBASE and AMED databases) was conducted from their year of inception to April 2018 with the keywords: 'greater trochanteric pain syndrome' or 'GTPS' or 'gluteus medius' or 'trochanteric bursitis' and 'platelet rich plasma' (PRP). A quality assessment was performed using the JADAD score for RCTs and MINORS for non-RCT studies. Read More

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https://academic.oup.com/jhps/article/5/3/209/5087803
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http://dx.doi.org/10.1093/jhps/hny027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6206702PMC
August 2018
17 Reads

Gluteus medius tears of the hip: a comprehensive approach.

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

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http://dx.doi.org/10.1080/00913847.2018.1527172DOI Listing
February 2019
23 Reads

A double blind randomised control trial investigating the efficacy of platelet rich plasma versus placebo for the treatment of greater trochanteric pain syndrome (the HIPPO trial): a protocol for a randomised clinical trial.

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

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http://dx.doi.org/10.1186/s13063-018-2907-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6151005PMC
September 2018
33 Reads

Endoscopic Gluteus Medius and Minimus Repair With Allograft Augmentation Using Acellular Human Dermis.

Arthrosc Tech 2018 Mar 12;7(3):e225-e230. Epub 2018 Feb 12.

Orthopaedic Department, Summa Health System, Akron, Ohio, U.S.A.

Recently, attention has been given to recalcitrant lateral hip pain, also known as greater trochanteric pain syndrome. Although, historically, this has been attributed to greater trochanteric bursitis, the literature has shown that many patients will have a lesion of the gluteus medius and minimus tendons. Endoscopic hip abductor tendon repair has been shown to provide good outcomes with decreasing overall morbidity and is becoming more popular. Read More

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http://dx.doi.org/10.1016/j.eats.2017.08.073DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5989483PMC
March 2018
50 Reads

Common Soft Tissue Musculoskeletal Pain Disorders.

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

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http://dx.doi.org/10.1016/j.pop.2018.02.006DOI Listing
June 2018
64 Reads

Editorial Commentary: Hip Trochanteric Bursitis and Femoroacetabular Impingement: The Arthroscope Is Only the Tool.

Authors:
Nicola Maffulli

Arthroscopy 2018 05;34(5):1461-1462

University of Salerno.

Lateral hip pain is debilitating, with pain located at or around the greater trochanter, and trochanteric bursitis is one of the conditions that are part of the greater trochanter pain syndrome. At times, trochanteric bursitis coexists with femoroacetabular impingement. In such cases, the arthroscope is used as a soft tissue endoscope facilitating debridement of the bursa and functional lengthening of the fascia lata. Read More

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http://dx.doi.org/10.1016/j.arthro.2018.01.004DOI Listing
May 2018
69 Reads

High prevalence of greater trochanteric pain syndrome among patients presenting to spine clinic for evaluation of degenerative lumbar pathologies.

J Clin Neurosci 2018 Jul 20;53:89-91. Epub 2018 Apr 20.

The Spine Hospital, Columbia University Medical Center, New York, NY, United States. Electronic address:

Background: Greater trochanteric pain syndrome (GTPS) is a relatively common diagnosis among the general population.

Objective: We aim to determine the prevalence of GTPS among patients who presented to the spine clinic.

Methods: Medical records of patients who were evaluated in the spine clinic were reviewed over a 12-month period (4/1/2016 to 3/31/2017). Read More

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http://dx.doi.org/10.1016/j.jocn.2018.04.030DOI Listing
July 2018
36 Reads

Editorial Commentary: Treatment of Partial Thickness Undersurface Abductor Tears of the Hip: Like Backwards a Bike Riding.

Authors:
Derek Ochiai

Arthroscopy 2018 04;34(4):1200-1201

Arlington, Virginia.

Partial thickness undersurface abductor tears can be effectively treated with a transtendinous gluteus medius and minimus repair, with decreased pain and improvement in abductor strength. The surgical treatment of this condition runs counter to traditional treatment for "greater trochanteric bursitis," and adoption may be more difficult as a result. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07498063173144
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http://dx.doi.org/10.1016/j.arthro.2017.11.024DOI Listing
April 2018
55 Reads

Total Hip Arthroplasty by the Direct Anterior Approach Using a Neck-preserving Stem: Safety, efficacy and learning curve.

Indian J Orthop 2018 Mar-Apr;52(2):124-132

Department of Research, School of Medicine, University of Notre Dame, Fremantle, New South Wales, Australia.

Background: The concept of femoral neck preservation in total hip replacement (THR) was introduced in 1993. It is postulated that retaining cortical bone of the femoral neck offers triplanar stability, uniform stress distribution, and accommodates physiological anteversion. However, data on safety, efficacy and learning curve are lacking. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_314_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5858205PMC
March 2018
18 Reads

Outcomes of Arthroscopic Management of Trochanteric Bursitis in Patients With Femoroacetabular Impingement: A Comparison of Two Matched Patient Groups.

Arthroscopy 2018 05 1;34(5):1455-1460. Epub 2018 Feb 1.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.. Electronic address:

Purpose: To determine the prevalence of chronic trochanteric bursitis (TB) in patient being treated for femoroacetabular impingement (FAI) and determine the effectiveness of arthroscopic bursectomy and iliotibial band lengthening (AB-ITB-L) at the time of hip arthroscopy for FAI.

Methods: Patients diagnosed with primary FAI and chronic TB were included in the study. Patients were included if they underwent hip arthroscopy with labral repair, femoral and/or acetabular osteoplasty, and AB-ITB-L. Read More

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http://dx.doi.org/10.1016/j.arthro.2017.10.053DOI Listing
May 2018
22 Reads

A rare cause of thigh pain: Morel-lavallée lesion.

Turk J Phys Med Rehabil 2018 Mar 5;64(1):80-82. Epub 2018 Feb 5.

Department of Physical Medicine and Rehabilitation, Şişli Hamidiye Etfal Training and Research Hospital, İstanbul, Turkey.

Morel-Lavallée lesion is an unusual clinical entity which was first described by the French surgeon Maurice Morel-Lavallée in 1853. These lesions result from peeling off the surfaces between the fat tissue and the muscular fascia. During this decomposition, the rupture of small vessels may cause an effusion full of necrotic blood, lymph and fat cells. Read More

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http://www.ftrdergisi.com/uploads/pdf/pdf_4063.pdf
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http://dx.doi.org/10.5606/tftrd.2018.1184DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709606PMC
March 2018
2 Reads

Great trochanter bursitis vs sciatica, a diagnostic-anatomic trap: differential diagnosis and brief review of the literature.

Eur Spine J 2018 07 1;27(7):1509-1516. Epub 2018 Feb 1.

Department of Anatomy, Medical School, University of Thessaly, Biopolis, 41110, Larissa, Greece.

Purpose: The purpose of this study is to point out the difficulty of differentiating great trochanter bursitis (GTB) from sciatica and estimating the prevalence of GTΒ, in patients poorly diagnosed with sciatica in their first visit to the general practitioner and referred to a spine infirmary.

Methods: The diagnosis of GTΒ was made based on history and physical examination, and was confirmed by ultrasonography and/or response to an anesthetic plus corticosteroid injection to the trochanteric bursa. Demographic and clinical characteristics of the study group were evaluated. Read More

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http://dx.doi.org/10.1007/s00586-018-5486-3DOI Listing
July 2018
52 Reads
2.473 Impact Factor

Ultrasonography and magnetic resonance imaging changes in patients with polymyalgia rheumatica treated by tocilizumab.

Arthritis Res Ther 2018 01 25;20(1):11. Epub 2018 Jan 25.

Rheumatology Department, Cavale Blanche Hospital and Brest Occidentale University, Brest, France.

Background: This study assessed inflammatory changes using ultrasound (US) and magnetic resonance imaging (MRI) in patients taking tocilizumab for polymyalgia rheumatica (PMR).

Methods: Eighteen patients were included in the prospective open-label TENOR study and received three tocilizumab infusions, without corticosteroids. B-mode and power Doppler US and MRI (T1 and T2-short time inversion recuperation weighted sequences) of the hips and shoulders were performed at weeks 0, 2, and 12. Read More

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http://dx.doi.org/10.1186/s13075-017-1499-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5785834PMC
January 2018
55 Reads

Outcomes and cost-effectiveness of ultrasound-guided injection of the trochanteric bursa.

Rheumatol Int 2018 Mar 20;38(3):393-401. Epub 2018 Jan 20.

Division of Rheumatology, Department of Internal Medicine, School of Medicine, University of New Mexico Health Sciences Center, MSC 10 5550, 5th FL ACC, Albuquerque, NM, 87131, USA.

We hypothesized that ultrasound (US) guidance improves outcomes of corticosteroid injection of trochanteric bursitis. 40 patients with greater trochanteric pain syndrome defined by pain to palpation over the trochanteric bursa were randomized to injection with 5 ml of 1% lidocaine and 80 mg of methylprednisolone using (1) conventional anatomic landmark palpation guidance or (2) US guidance. Procedural pain (Visual Analogue Pain Scale), pain at outcome (2 weeks and 6 months), therapeutic duration, time-to-next intervention, and costs were determined. Read More

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http://dx.doi.org/10.1007/s00296-018-3938-zDOI Listing
March 2018
21 Reads

Lateral trochanteric pain following total hip arthroplasty: radiographic assessment of altered biomechanics as a potential aetiology.

Ir J Med Sci 2018 Aug 15;187(3):663-668. Epub 2018 Jan 15.

Department of Trauma and Orthopaedics, Midlands Regional Hospital, Tullamore, Ireland.

Introduction: Lateral trochanteric pain (LTP) complicates up to 17% of cases of total hip arthroplasty (THA). Studies have refuted underlying trochanteric bursitis. Restoration of the femoral offset and reproduction of the natural femoral centre of rotation are important in successful arthroplasty. Read More

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http://dx.doi.org/10.1007/s11845-017-1701-1DOI Listing
August 2018
27 Reads
0.573 Impact Factor

Corticosteroid Injection for an Orthopedic Complaint in a Female with Gestational Diabetes.

Sports Med Open 2018 Jan 5;4(1). Epub 2018 Jan 5.

, Birmingham, USA.

A female with gestational diabetes presented with hip pain characteristic of meralgia paresthetica and trochanteric bursitis. She had similar episodes prior to pregnancy that were treated successfully with non-steroidal anti-inflammatory drugs (NSAIDs) and corticosteroid injections. However, NSAID use during pregnancy poses risks to the fetus and corticosteroids carry a risk of hyperglycemia, especially in those with diabetes. Read More

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http://dx.doi.org/10.1186/s40798-017-0115-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5756231PMC
January 2018
32 Reads

Do ultrasound guided trochanteric bursa injections of corticosteroid for greater trochanteric pain syndrome provide sustained benefit and are imaging features associated with treatment response?

Clin Radiol 2018 05 19;73(5):505.e9-505.e15. Epub 2017 Dec 19.

Musculoskeletal Centre X-Ray Department, Leeds Teaching Hospitals Trust, Chapel Allerton Hospital, Leeds, UK; Leeds Musculoskeletal Biomedical Research Centre, University of Leeds, Leeds, UK. Electronic address:

Aim: To assess intra-bursal corticosteroid injections (ICSI) efficacy and duration of action in the management of greater trochanteric pain syndrome (GTPS). The secondary aim was to identify patient and ultrasound (US) features predictive of treatment response.

Materials And Methods: Consecutive prospectively recruited patients undergoing US-guided ICSI therapy for GTPS received baseline pre-injection questionnaires assessing pain at rest and activity, demographics and comorbidities. Read More

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http://dx.doi.org/10.1016/j.crad.2017.11.020DOI Listing
May 2018
92 Reads

Trochanteric Bursitis Following Primary Total Hip Arthroplasty: Incidence, Predictors, and Treatment.

J Arthroplasty 2018 04 13;33(4):1205-1209. Epub 2017 Nov 13.

Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, New York.

Background: Trochanteric bursitis (TB) remains a common complication after total hip arthroplasty (THA), with an incidence between 3% and 17%, depending on the surgical approach, with the posterior approach (PA) being relatively protective compared to the lateral approach. The purposes of this study were to determine the incidence of TB after primary THA, identify potential risk factors for TB, and examine the utility of different modes of treatment.

Methods: Retrospective cohort data of 990 primary THAs performed in a single institution, including 613 PAs and 377 direct anterior approaches (DAAs), were analyzed. Read More

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http://dx.doi.org/10.1016/j.arth.2017.11.016DOI Listing
April 2018
38 Reads

Greater trochanteric pain syndrome: a review of diagnosis and management in general practice.

Br J Gen Pract 2017 10;67(663):479-480

Centre for Musculoskeletal Medicine, the Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham.

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http://dx.doi.org/10.3399/bjgp17X693041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5604828PMC
October 2017
42 Reads

[Clinical Results of Endoscopic Treatment of Greater Trochanteric Pain Syndrome].

Acta Chir Orthop Traumatol Cech 2017 ;84(3):168-174

Klinika ortopedie a traumatologie pohybového ústrojí Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Plzni.

PURPOSE OF THE STUDY This retrospective study aims to present short-term clinical outcomes of endoscopic treatment of patients with greater trochanteric pain syndrome (GTPS). MATERIAL AND METHODS The evaluated study population was composed of a total of 19 patients (16 women, 3 men) with the mean age of 47 years (19-63 years). In twelve cases the right hip joint was affected, in the remaining seven cases it was the left side. Read More

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January 2018
22 Reads

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

Int Orthop 2018 01 28;42(1):77-85. Epub 2017 Jul 28.

Musculoskeletal Research Unit, School of Clinical Sciences, University of Bristol, Level 1 Learning and Research Building, Southmead Hospital, Westbury-on-Trym, Bristol, BS10 5NB, UK.

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. Read More

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http://dx.doi.org/10.1007/s00264-017-3546-7DOI Listing
January 2018
13 Reads

Tendon Disorders After Total Hip Arthroplasty: Evaluation and Management.

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

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http://dx.doi.org/10.1016/j.arth.2017.04.015DOI Listing
October 2017
22 Reads

Nonunion of greater trochanter following total hip arthroplasty: Treated by an articulated hook plate and bone grafting.

Indian J Orthop 2017 May-Jun;51(3):273-279

Department of Orthopaedic Surgery, University of Bern, Bern, Switzerland.

Background: Trochanteric osteotomy still has an important role in hip arthroplasty in cases of (1) preexisting developmental hip dysplasia with superior subluxation, (2) revision arthroplasty, specifically with acetabular component revision in the face of well-fixed femoral component, and (3) recurrent dislocation without component loosening or malalignment, in treatment of complicated trochanteric fixation in osteoporotic bone and nonunions may be difficult. This study reports the clinical outcomes of trochanteric fixation following total hip arthroplasty (THA) utilizing a hook plate construct in a cohort of ten patients.

Materials And Methods: The Arbeitsgemeinschaft für Osteosynthesefragen (AO) articulated hook plate was used in nine cases of established approach related nonunion following THA and in one case of osteopenic bone during primary THA. Read More

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http://dx.doi.org/10.4103/0019-5413.205680DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5439312PMC
June 2017
43 Reads

Muscle localization of heterotopic ossification following spinal cord injury.

Spine J 2017 10 27;17(10):1519-1522. Epub 2017 Apr 27.

BG-University Hospital, Department of General and Trauma Surgery, BG-University Hospital Bergmannsheil, Bürkle-de-la-Camp Platz 1, 44789 Bochum, Germany.

Background Context: Heterotopic ossification (HO) is a known complication especially in people with traumatic spinal cord injury (SCI). Although some risk factors have already been described, the pathophysiology of HO is still unknown. The pelvis is the most common region for HO occurrence. Read More

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http://dx.doi.org/10.1016/j.spinee.2017.04.021DOI Listing
October 2017
40 Reads