September’s Five Minute Manager
Prevalence of Bursitis in patients with Greater Trochanteric pain
What?
A retrospective review of Ultrasounds belonging to 877 patients with Greater Trochanter pain Syndrome over a 6 year period
Who?
602 women, 275 men.
Average age: 54 years
Results!
Of the 877 patients with greater trochanteric pain;
- a minority of patients (177, 20.2%) had trochanteric bursitis.
- 438 (49.9%) had gluteal tendinosis, four (0.5%) had gluteal tendon tears,
- 250 (28.5%) had a thickened iliotibial band.
So what?
In patients with Greater Trochnteric Pain the solution is rarely an injection as as isolated treatment. Causative factors, Tendon strengthening, Intrinsic and Extrinsic load through the area must all be considered.
Michael Rafla
Physiotherapist
Australian Sports Physiotherapy
Ivanhoe, Heidelberg, Coburg, Northcote, Carlton North
1300651256
0431 271 714
2013 Nov;201(5):1083-6. doi: 10.2214/AJR.12.10038.
Sonography of greater Trochanteric pain syndrome and the rarity of primary bursitis
Suzanne S Long, David E Surrey, Levon N Nazarian