Greater Trochanteric Pain Syndrome

• Published in: Journal of the American Academy of Orthopaedic Surgeons Vol. 24; no. 4; pp. 231 - 240
• Main Authors: Redmond, John M, Chen, Austin W, Domb, Benjamin G
• Format: Journal Article
• Language: English
• Published: United States by American Academy of Orthopaedic Surgeons 01-04-2016
• Subjects: Arthralgia - diagnosis; Arthralgia - diagnostic imaging; Arthralgia - etiology; Arthralgia - therapy; Femur - anatomy & histology; Femur - diagnostic imaging; Humans; Syndrome
• ISSN: 1067-151X; 1940-5480
• DOI: 10.5435/JAAOS-D-14-00406

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. Greater trochanteric pain syndrome encompasses trochanteric bursitis, external coxa saltans (ie, snapping hip), and abductor tendinopathy. A thorough understanding of the anatomy, examination findings, and imaging characteristics aids the clinician in treating these patients. Open and endoscopic treatment options are available for use when nonsurgical treatment is unsuccessful.