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Trochanteric Bursitis (Greater Trochanter Pain Syndrome)

      Trochanteric bursitis, a common regional pain syndrome, is characterized by chronic, intermittent aching pain over the lateral aspect of the hip. The incidence of trochanteric bursitis peaks between the fourth and sixth decades of life, but cases have been reported in all age-groups. The diagnosis may be elusive, especially if symptoms are atypical. This condition can be associated with pain and limitation of function. Treatment includes physical therapy measures, analgesics, and local glucocorticoid injection. In this article, we review the pathogenesis, common initial symptoms, diagnostic approach, and treatment options for trochanteric bursitis.
      MRI (magnetic resonance imaging)
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      References

        • Spear IM
        • Lipscomb PR
        Noninfectious trochanteric bursitis and peritendinitis.
        Surg Clin North Am. 1952 Aug; 32: 1217-1224
        • Bywaters EGL
        The bursae of the body [editorial].
        Ann Rheum Dis. 1965; 24: 215-218
      1. Williams PL Warwick R Dyson M Bannister LH Gray's Anatomy. 37th ed. Churchill Livingstone, Edinburgh1989: 640-643
        • Gordon EJ
        Trochanteric bursitis and tendinitis.
        Clin Orthop. 1961; 20: 193-202
        • Swezey RL
        Pseudo-radiculopathy in subacute trochanteric bursitis of the subgluteus maximus bursa.
        Arch Phys Med Rehabil. 1976; 57: 387-390
        • Haller CC
        • Coleman PA
        • Estes NC
        • Grisolia A
        Traumatic trochanteric bursitis.
        Kans Med. 1989; 90 (22): 17-18
        • Lecocq E
        Peritrochanteric bursitis.
        J Bone Joint Surg. 1931; 13: 872-873
        • Goldenberg RR
        • Leventhal GS
        Supratrochanteric calcification.
        J Bone Joint Surg. 1936; 18: 205-211
        • Sandstrõm C
        Peritendinitis calcarea: a common disease of middle life; its diagnosis, pathology and treatment.
        AJR Am J Roentgenol. 1938; 40: 1-21
        • Schein AJ
        • Lehmann O
        Acute trochanteric bursitis with calcification.
        Surgery. 1941; 9: 771-779
        • Anderson TP
        Trochanteric bursitis: diagnostic criteria and clinical significance.
        Arch Phys Med Rehabil. 1958; 39: 617-622
        • Ege Rasmussen KJ
        • Fano N
        Trochanteric bursitis: treatment by corticosteroid injection.
        Scand J Rheumatol. 1985; 14: 417-420
        • Schapira D
        • Nahir M
        • Scharf Y
        Trochanteric bursitis: a common clinical problem.
        Arch Phys Med Rehabil. 1986; 67: 815-817
        • Stenström R
        • Gripenberg L
        Acute bursitis calcarea trochanterica in an infant, with perforation into the hip joint demonstrated by arthrogram.
        Pediatr Radiol. 1978; 7: 51-52
        • Little H
        Trochanteric bursitis: a common cause of pelvic girdle pain.
        Can Med Assoc J. 1979; 120: 456-458
        • Raman D
        • Haslock I
        Trochanteric bursitis—a frequent cause of ‘hip’ pain in rheumatoid arthritis.
        Ann Rheum Dis. 1982; 41: 602-603
        • Rothenberg RJ
        Rheumatic disease aspects of leg length inequality.
        Semin Arthritis Rheum. 1988; 17: 196-205
        • Mandell BF
        Avascular necrosis of the femoral head presenting as trochanteric bursitis.
        Ann Rheum Dis. 1990; 49: 730-732
        • Caruso FA
        • Toney MA
        Trochanteric bursitis: a case report of plain film, scintigraphic, and MRI correlation.
        Clin Nucl Med. 1994; 19: 393-395
        • Allwright SJ
        • Cooper RA
        • Nash P
        Trochanteric bursitis: bone scan appearance.
        Clin Nucl Med. 1988; 13: 561-564
        • Krout RM
        • Anderson TP
        Trochanteric bursitis: management.
        Arch Phys Med Rehabil. 1959; 40: 8-14
        • Cloyd WL
        Bursitis of the hip.
        Mississippi Valley Med J. 1954; 76: 219-220
        • Brooker Jr, AF
        The surgical approach to refractory trochanteric bursitis.
        Johns Hopkins Med J. 1979; 145: 98-100
        • Leonard MH
        Trochanteric syndrome: calcareous and noncalcareous tendonitis and bursitis about the trochanter major.
        JAMA. 1958; 168: 175-177
        • Zoltan DJ
        • Clancy Jr, WG
        • Keene JS
        A new operative approach to snapping hip and refractory trochanteric bursitis in athletes.
        Am J Sports Med. 1986; 14: 201-204
      2. Shbeeb MI, O'Duffy JD, Michet CJ Jr, O'Fallon WM, Matteson EL. Evaluation of glucocorticosteroid for the treatment of trochanteric bursitis. J Rheumatol [in press]