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trochanter pain syndrome

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https://www.readbyqxmd.com/read/27900474/bone-scan-usefulness-in-patients-with-painful-hip-or-knee-prosthesis-10-situations-that-can-cause-pain-other-than-loosening-and-infection
#1
REVIEW
Sofia Vaz, Teresa C Ferreira, Lucília Salgado, Frédéric Paycha
In recent years, with the higher median life expectancy, the number of hip and knee replacements has increased. Clinical examination and morphological studies are essential to evaluate patients with a painful arthroplasty. Nuclear medicine examinations also play an important role, their main usefulness being the exclusion of prosthesis complications. Nevertheless, conventional examinations, namely bone scan and white blood cell scintigraphy, can also identify complications, such as loosening and infection. This study describes the normal and pathologic patterns of a bone scan and exemplifies ten common situations that can cause pain in patients with hip or knee arthroplasty, other than loosening and infection, which can be disclosed on a bone scintigraphy...
November 30, 2016: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27537854/hydroxyapatite-deposition-disease-around-the-hip-outcomes-of-ct-guided-treatment
#2
Michail E Klontzas, Evangelia E Vassalou, Aristeidis H Zibis, Apostolos H Karantanas
PURPOSE: Hydroxyapatite deposition disease (HADD) around the hip joint is a self-limiting condition usually treated conservatively. The aim of the present study is to directly compare the outcomes of CT-guided and conservative treatments in cases of refractory hip HADD. METHODS: Two groups of patients with refractory hip HADD were prospectively constructed from a pool of 484 patients referred for greater trochanter pain syndrome, based on the presence of calcifications around the hip and the failure of conservative treatment...
September 2016: Diagnostic and Interventional Radiology: Official Journal of the Turkish Society of Radiology
https://www.readbyqxmd.com/read/27454276/ultrasound-guided-quadratus-femoris-muscle-injection-in-patients-with-lower-buttock-pain-novel-ultrasound-guided-approach-and-clinical-effectiveness
#3
Do-Hyeong Kim, Duck Mi Yoon, Kyung Bong Yoon
BACKGROUND: The quadratus femoris (QF) muscle is a possible source of lower buttock pain as evidenced by what is known about the pathophysiology of ischiofemoral impingement syndrome. However, there are few reports about the interventional management of the QF muscle as a pain generator. OBJECTIVE: To describe an ultrasound-guided QF muscle injection technique in patients with lower buttock pain suspected of QF muscle pathology and to report the result of treatment...
July 2016: Pain Physician
https://www.readbyqxmd.com/read/26600879/ischiofemoral-impingement-syndrome-a-case-report-and-a-review-of-literature
#4
Piotr Palczewski, Katarzyna Sułkowska, Jan Świątkowski, Hanna Kocoń, Marek Gołębiowski
BACKGROUND: Ischiofemoral impingement syndrome is characterized by a hip pain associated with abnormalities in quadriceps femoris muscle and ipsilaterally reduced distance between the lesser trochanter and the ischium. Thus far, the congenital variant of this entity has been reported exclusively in women. CASE REPORT: We report a case of a 22-year old male with painful hips in whom on the basis of the imaging studies the constitutional variant of ischiofemoral impingement was diagnosed...
2015: Polish Journal of Radiology
https://www.readbyqxmd.com/read/26490678/dynamic-sonography-of-snapping-hip-due-to-gluteus-maximus-subluxation-over-greater-trochanter
#5
Connie Y Chang, Jeffrey Kreher, Martin Torriani
We report on the dynamic sonographic findings of a 10-year-old avid female dancer who presented with symptoms of abrupt left hip motion and associated painful snapping sensation while performing lateral motions of the pelvis suggesting external snapping hip syndrome. Dynamic sonographic evaluation of both hips demonstrated that symptoms were due to gluteus maximus subluxation over the greater trochanter. This etiology of external snapping hip syndrome is rare with limited imaging descriptions in the literature...
March 2016: Skeletal Radiology
https://www.readbyqxmd.com/read/26261785/high-volume-image-guided-injections-and-structured-rehabilitation-improve-greater-trochanter-pain-syndrome-in-the-short-and-medium-term-a-combined-retrospective-and-prospective-case-series
#6
Sarah Morton, Otto Chan, Jessica Price, Melanie Pritchard, Tom Crisp, John D Perry, Dylan Morrissey
BACKGROUND: the aim of this study was to measure the effects of high volume image-guided injections and structured rehabilitation (HVIGI&SR) for greater trochanter pain syndrome (GTPS). METHODS: 31 consecutive subjects were recruited (23 retrospectively; 8 prospectively) over 5 months. GTPS was diagnosed based on history and examination findings, alongside radiological examination. The HVI-GI used a 22-gauge spinal needle to administer 10ml of 0.5% Marcaine and 50 mg hydrocortisone just deep to the periosteum underlying the gluteal tendon insertion under ultrasound guidance, followed by structured rehabilitation...
April 2015: Muscles, Ligaments and Tendons Journal
https://www.readbyqxmd.com/read/25973381/trochanteric-micropuncture-treatment-for-gluteus-medius-tendinopathy
#7
John M Redmond, William M Cregar, Asheesh Gupta, Jon E Hammarstedt, Timothy J Martin, Benjamin G Domb
Lateral hip pain along with tenderness of the greater trochanter has been associated with greater trochanteric pain syndrome. Radiographically, this has been associated with gluteus medius pathology on magnetic resonance imaging. This has led some surgeons to conclude that abductor pathology is a primary cause of lateral hip pain. Failure of conservative treatment in the setting of gluteus medius pathology may lead to surgical intervention. In some patients a focal tear of the gluteus medius cannot be visualized and likely represents more diffuse tendinopathy...
February 2015: Arthroscopy Techniques
https://www.readbyqxmd.com/read/25946869/-greater-trochanteric-pain-syndrome
#8
M J Nissen, S Genevay
Trochanteric bursitis, also known as "greater trochanter pain syndrome", is a frequent and often under-diagnosed cause of pain in the lateral hip region. The diagnosis is essentially based on the clinical examination; however various forms of imaging may be useful to confirm the diagnosis and particularly to ex- clude other aetiologies. The different therapeutic options include non-steroidal anti-inflammatories, physiotherapy, local injections of cortisone and local anaesthetic, and extra-corporeal shock wave therapy...
March 11, 2015: Revue Médicale Suisse
https://www.readbyqxmd.com/read/25710862/ultrasound-evaluation-of-the-greater-trochanter-pain-syndrome-bursitis-or-tendinopathy
#9
Santiago Ruta, Cristian Quiroz, Josefina Marin, Erika Catay, Javier Rosa, Ricardo García-Monaco, Enrique R Soriano
No abstract text is available yet for this article.
March 2015: Journal of Clinical Rheumatology: Practical Reports on Rheumatic & Musculoskeletal Diseases
https://www.readbyqxmd.com/read/25497431/evaluation-and-management-of-greater-trochanter-pain-syndrome
#10
REVIEW
Edward P Mulligan, Emily F Middleton, Meredith Brunette
Greater trochanteric pain syndrome is an enigmatic but common cause of lateral hip symptoms in middle-aged active women. The most common manifestation of this syndrome is a degenerative tendinopathy of the hip abductors similar to the intrinsic changes seen with rotator cuff pathology in the shoulder. There are no definitive tests to isolate the underlying pathology and palpation is a non-specific means by which to differentiate the source of the pain generator. The physical examination must comprehensively evaluate for a cluster of potential impairments and contributing factors that will need to be addressed to effectively manage the likely functional limitations and activity challenges the syndrome presents to the patient...
August 2015: Physical Therapy in Sport
https://www.readbyqxmd.com/read/25415793/greater-trochanteric-pain-syndrome-due-to-tumoral-calcinosis-in-a-patient-with-chronic-kidney-disease
#11
Dongjin Baek, Sang Eun Lee, Woo-Jin Kim, Sanghoon Jeon, Kihwa Lee, Jaewook Jung, Hyunchul Joo, Jaehong Park, Yonghan Kim, Young-gyun Choi
Tumoral calcinosis is a rare syndrome characterized by massive subcutaneous soft tissue deposits of calcium phosphate near the large joints. It is more prevalent in patients with chronic kidney disease undergoing dialysis. A 57-year-old woman was referred to our pain clinic with the complaint of severe pain in the left buttock and lateral hip. The patient had been suffering from chronic kidney disease for 10 years and had been undergoing peritoneal dialysis over the past 5 years. The patient's symptom was initially suspected to be of lumbar origin at the L5 level and a left L5 transforaminal epidural block was performed, but without success...
November 2014: Pain Physician
https://www.readbyqxmd.com/read/25381470/clinical-outcomes-of-trochanteric-syndrome-endoscopically-treated
#12
Andrea Domínguez, Roberto Seijas, Oscar Ares, Andrea Sallent, Xavier Cuscó, Ramón Cugat
BACKGROUND: Greater trochanteric pain syndrome (GTPS) is clinically defined as greater trochanter pain with mechanical characteristics. Most cases of GTPS are resolved with conservative treatment. Surgical techniques are reserved for those who had unsatisfactory results with conservative treatment. PURPOSE: The aim of the present paper is to describe the outcomes observed within endoscopic treatment of peritrochanteric pathology. METHODS: Twenty-three patients were included in the present study, undergoing surgery between January 2010 and December 2011, diagnosed with GTPS and surgically treated with endoscopy...
January 2015: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/25187570/imaging-and-management-of-greater-trochanteric-pain-syndrome
#13
REVIEW
Rajat Chowdhury, Sahar Naaseri, Justin Lee, Gajan Rajeswaran
Greater trochanteric pain syndrome (GTPS) is a commonly diagnosed regional pain syndrome with a wide spectrum of aetiologies, reflecting the anatomy of the structures outside the hip joint capsule. There are five muscle tendons that insert on to the greater trochanter and three bursae in the region of the greater trochanter. The term GTPS includes tendinopathies, tendinous tears, bursal inflammation and effusion. There are a range of treatments and therapies depending on the specific diagnosis and severity of the condition...
October 2014: Postgraduate Medical Journal
https://www.readbyqxmd.com/read/25147767/assessment-of-the-effectiveness-of-extracorporeal-shock-wave-therapy-eswt-for-soft-tissue-injuries-assert-an-online-database-protocol
#14
G Maffulli, S Hemmings, N Maffulli
BACKGROUND: Soft tissue injuries and tendinopathies account for large numbers of chronic musculoskeletal disorders. Extracorporeal shockwave therapy (ESWT) is popular, and effective in the management of chronic tendon conditions in the elbow, shoulder, and pain at and around the heel. METHODS/DESIGN: Ethical approval was granted from the South East London Research Ethics Committee to implement a database for the Assessment of Effectiveness of Extracorporeal Shock Wave Therapy for Soft Tissue Injuries (ASSERT) to prospectively collect information on the effectiveness of ESWT across the UK...
September 2014: Translational Medicine @ UniSa
https://www.readbyqxmd.com/read/25043986/greater-trochanter-pain-syndrome-a-descriptive-mr-imaging-study
#15
Michail E Klontzas, Apostolos H Karantanas
OBJECTIVE: Greater trochanter pain syndrome (GTPS) is a diverse clinical entity caused by a variety of underlying conditions. We sought to explore the impact of (1) hip morphology, namely the center-edge angle (CEa) and femoral neck-shaft (NSa) angle, (2) hip abductor tendon degeneration, (3) the dimensions of peritrochanteric edema and (4) bursitis, on the presence of GTPS, using MR imaging. MATERIALS AND METHODS: The presence of pain was prospectively assessed blindly by the senior author...
October 2014: European Journal of Radiology
https://www.readbyqxmd.com/read/24949742/a-novel-p-gly630ser-mutation-of-col2a1-in-a-chinese-family-with-presentations-of-legg-calv%C3%A3-perthes-disease-or-avascular-necrosis-of-the-femoral-head
#16
Na Li, Jian Yu, Xiang Cao, Qiu-Yue Wu, Wei-Wei Li, Tian-Fu Li, Cui Zhang, Ying-Xia Cui, Xiao-Jun Li, Zhi-Min Yin, Xin-Yi Xia
OBJECTIVE: Mutations in the type II collagen gene are associated with certain human disorders, collectively termed type II collagenopathies. They include Legg-Calvé-Perthes disease (LCPD) and avascular necrosis of the femoral head (ANFH). These two diseases are skeletal dysplasias, inherited in an autosomal dominant fashion, characterized by groin pain, dislocation of the hip and diminished joint mobility. Coxa vara and elevation of the greater trochanter of the femur comprise the typical phenotype of LCPD, but do not occur in ANFH...
2014: PloS One
https://www.readbyqxmd.com/read/24734999/ultrasound-guided-prolotherapy-with-polydeoxyribonucleotide-sodium-in-ischiofemoral-impingement-syndrome
#17
Won-Joong Kim, Hwa-Yong Shin, Gill-Hoi Koo, Hae-Gyun Park, Yong-Chan Ha, Yong-Hee Park
Ischiofemoral impingement syndrome is an uncommon disorder defined by hip pain caused by the narrowing of the space between the ischial tuberosity and lesser trochanter with associated entrapment of the quadratus femoris muscle. We effectively treated two male patients using ultrasound-guided prolotherapy with polydeoxyribonucleotide sodium mixed with local anesthetics. A 24-year-old male patient with no history of trauma or surgery complained of bilateral hip and groin pain; magnetic resonance imaging demonstrated slight narrowing of the bilateral ischiofemoral spaces with mild enhancement of the left quadratus femoris muscle...
September 2014: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/24716427/-greater-trochanteric-pain-syndrome-of-the-hip
#18
REVIEW
Barak Haviv, Shlomo Bronak, Rafael Thein
Lateral pain of the hip with point tenderness at the Greater Trochanter is a common musculoskeletal complaint. It is frequently diagnosed as trochanteric bursitis; however, this term is inaccurate because of evident non-inflammatory pathologies, particularly of the abductor tendons of the hip. It is important to differentiate this extra-articular source from an intra-articular or a lower back source of pain. Imaging is useful in cases of trauma, prolonged pain or uncertain diagnosis. Non-operative treatment that involves modifying activities, physiotherapy, analgesics, steroid injections and shock wave therapy is usually helpful...
February 2014: Harefuah
https://www.readbyqxmd.com/read/24711885/combination-chemotherapy-regimen-in-a-patient-with-metastatic-malignant-pheochromocytoma-and-neurofibromatosis-type-1
#19
Salman Otoukesh, Chad J Cooper, Wynee Lou, Mona Mojtahedzadeh, Azadeh Nasrazadani, Mallory Wampler, Zenia Nahleh
PATIENT: Female, 55 FINAL DIAGNOSIS: Metastatic malignant pheochromocytoma Symptoms: Chest pain • tachycardia • tachypnea MEDICATION: - Clinical Procedure: - Specialty: Oncology. OBJECTIVE: Rare disease. BACKGROUND: Malignant pheochromocytoma is defined as the occurrence of the tumor in an area that is normally devoid of chromaffin tissue, direct tumor invasion, and/or metastasis. Metastatic malignant pheochromocytoma is very rare...
2014: American Journal of Case Reports
https://www.readbyqxmd.com/read/24563019/increased-substance-p-expression-in-the-trochanteric-bursa-of-patients-with-greater-trochanteric-pain-syndrome
#20
Angela Margaret Fearon, Jane Twin, Jane E Dahlstrom, Jill L Cook, Wes Cormick, Paul N Smith, Alexander Scott
Greater trochanteric pain syndrome (GTPS) is a pathology that can involve the trochanteric bursa or the tendons which attach to the greater trochanter. To clarify the potential importance of bursa versus tendon pathology and of substance P (SP) in contributing to pain in this condition tendon and bursa tissue biopsies were obtained from 34 patients with GTPS and 29 control subjects. Specimens were evaluated via light microscopy for histopathological and morphological differences, as well as using immunohistochemistry for macrophages (CD68), inflammatory cells (CD45) and SP...
October 2014: Rheumatology International
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