Search Our Scientific Publications & Authors

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

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

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

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

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

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

Arthroscopy 2018 May;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

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

Arthroscopy 2018 Apr;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

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

Arthroscopy 2018 May 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

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

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

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

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

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

Clin Radiol 2018 May 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

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

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

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

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

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

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

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

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

Medicine (Baltimore) 2017 Apr;96(14):e6581

Department of Orthopaedics, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, Anhui Province, China.

Total hip arthroplasty (THA) for high congenital hip dislocation (CHD) is technically demanding. The purpose of this retrospective study was to evaluate the results of cementless THA combined with extended sliding trochanteric osteotomy. We also assessed whether chronic low back pain was relieved after surgery. Read More

J Orthop Sports Phys Ther 2017 Apr;47(4):240

Greater trochanteric pain syndrome (GTPS) is chronic, intermittent pain and tenderness on the outside of the hip. The medical community once thought that a swollen hip bursa was the source of such pain, which led to the use of corticosteroid injections to the bursa to help decrease swelling and pain. However, researchers now believe that injuries to the muscles and tendons around the hip are the actual cause of this pain, and that inflammation is often not involved. 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

J Orthop Sports Phys Ther 2017 Apr 3;47(4):232-239. Epub 2017 Mar 3.

Study Design Prospective, randomized, partially blinded. Background Greater trochanteric pain syndrome (GTPS) is the current terminology for what was once called greater trochanteric or subgluteal bursitis. Cortisone (corticosteroid) injection into the lateral hip has traditionally been the accepted treatment for this condition; however, the effectiveness of injecting the bursa with steroids is increasingly being questioned. 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

Arthrosc Tech 2016 Oct 17;5(5):e1185-e1189. Epub 2016 Oct 17.

The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

Lateral hip pain associated with trochanteric bursitis is a common orthopedic condition, and can be debilitating in chronic or recalcitrant situations. Conservative management is the most common initial treatment and often results in resolution of symptoms and improved patient outcomes. These modalities include rest, activity modification, physical therapy, anti-inflammatory medication, or corticosteroid injections. 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

Strahlenther Onkol 2017 Apr 11;193(4):260-268. Epub 2016 Nov 11.

Center for Radiotherapy and Radiooncology Bremen and Westerstede, Westerstede, Germany.

Purpose: Low-dose external beam radiotherapy (ED-EBRT) is frequently used in the therapy of refractory greater trochanteric pain syndrome (GTPS). As studies reporting treatment results are scarce, we retrospectively analyzed our own patient collectives.

Patients And Methods: In all, 60 patients (74 hips) received LD-EBRT (6 × 0. 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

Hip Pelvis 2016 Sep 30;28(3):178-181. Epub 2016 Sep 30.

Department of Orthopaedic Surgery, Daegu Fatima Hospital, Daegu, Korea.

Abductor deficiency in native hip joint may cause severe limping and pain. It is more serious situation in case of arthroplasty due to instability and recurrent dislocation. Well-known causes of abductor deficiency are repeated surgery, chronic trochanteric bursitis, superior gluteal nerve injury, failure of repair of abductor tendon insertion to the greater trochanter. Read More

Arthrosc Tech 2016 Jun 2;5(3):e425-31. Epub 2016 May 2.

Division of Sports Medicine, Department of Orthopedic Surgery, Hip Preservation Center, Rush University Medical Center, Rush Medical College of Rush University, Chicago, Illinois, U.S.A.

In addition to trochanteric bursitis, gluteus medius and minimus tears (GMMTs) can be a common source of insidious lateral hip pain and dysfunction. Partial-thickness GMMTs are much more common than full-thickness GMMTs but are frequently overlooked by both radiologists and orthopaedic surgeons. GMMTs are commonly identified on magnetic resonance imaging ordered for lateral hip pain unresponsive to conservative management. Read More

J Phys Ther Sci 2016 Jul 29;28(7):2078-81. Epub 2016 Jul 29.

Department of Biomedical Sciences, State University of Novi Pazar, Serbia; General Hospital Novi Pazar, Serbia.

[Purpose] Trochanteric bursitis is a disease for which there are no effective standardized therapy protocols. Very often pain persists in spite of applying all therapeutic treatments. The purpose of this study was to determine whether treatment of trochanteric bursitis with a local injection of bicomponent corticosteroid and 2% lidocaine would improve patients' conditions and relieve pain symptoms in the trochanteric area. 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

FP Essent 2016 07;446:19-24

University of Kansas School of Medicine Family and Community Medicine, 1010 N. Kansas, Wichita, KS 672147.

Common overuse injuries of the hip include greater trochanteric pain syndrome (GTPS) and coxa saltans (ie, snapping hip). GTPS, previously called trochanteric bursitis, is a regional chronic pain syndrome. Etiologies include gluteal tendinitis or tendinosis, gluteal muscle or tendon tears, bursitis, meralgia paresthetica, iliotibial band disorders, and referred osteoarthritis pain. 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;35(3):449-467

Orthopedic Surgery, Brigham and Women's Hospital/Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. Electronic address:

Over the last decade, there have been significant advances in endoscopic techniques for peritrochanteric disorders of the hip. Endoscopic repair of gluteus medius and minimus tears has demonstrated good to excellent results in most patients who meet surgical indications with extremely low complication rates. Treatment of coxa saltans and other peritrochanteric disorders are also described, though the literature lacks sufficient evidence to guide treatment. Read More

Pain Physician 2016 05;19(4):E547-57

Department of Rehabilitation Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Republic of Korea.

Background: Trochanteric bursa injections of corticosteroids and local anesthetics have been shown to provide pain relief for the treatment of greater trochanteric pain syndrome (GTPS). However, symptom recurrence and incomplete symptom relief are common. The reason for the variation in response is unclear but may be related to disease-, treatment-, or patient-related factors. Read More

Orthopedics 2016 Jul 9;39(4):e810-3. Epub 2016 May 9.

A 50-year-old woman with a chronic polyarthropathy was seen by her orthopedist for long-standing back and shoulder and worsening hip pain. A lateral labral tear and chronic trochanteric bursitis were diagnosed on hip magnetic resonance imaging, which was otherwise unremarkable. Hip arthroscopy was performed revealing an unusual bluish-tinged femoral head articular surface. 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

Z Orthop Unfall 2016 Apr 22;154(2):140-7. Epub 2016 Apr 22.

Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, München.

Introduction: Gluteal insufficiency is a common and challenging complaint. New concepts in pathobiomechanics and improved clinical understanding of chronic gluteal dysfunction have unmasked gluteus medius (GMed) tears as an underlying cause of enhanced trochanteric pain syndrome (GTPS). These tears are often missed or misdiagnosed as bursitis, but lead to prolonged chronic peritrochanteric pain. 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

Bull Hosp Jt Dis (2013) 2016 Mar;74(1):58-62

Greater trochanteric pain syndrome (GTPS) is a term used to describe disorders of the peritrochanteric region. This constellation of conditions includes greater trochanteric bursitis, gluteus medius (GM) tears, and external coxa saltans or snapping hip syndrome. Tears of the abductor mechanism, more specifically gluteus medius tears, have recently gained a considerable amount of interest in the orthopaedic literature. 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