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"Trochanter pain"

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
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
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
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
Suelen M Góes, Neiva Leite, Ricardo M de Souza, Diogo Homann, Ana C V Osiecki, Joice M F Stefanello, André L F Rodacki
BACKGROUND: Fibromyalgia is a condition which involves chronic pain. Middle-aged individuals with fibromyalgia seem to exhibit changes in gait pattern, which may prematurely expose them to a gait pattern which resembles that found in the elderly population. OBJECTIVE: To determine the 3D spatial (linear and angular) gait parameters of middle-aged women with fibromyalgia and compare to elderly women without this condition. METHODS: 25 women (10 in the fibromyalgia group and 15 in the elderly group) volunteered to participate in the study...
September 2014: Revista Brasileira de Reumatologia
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
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
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
B Vanzieleghem, F Van Kerkhove, K Govaers
OBJECTIVES: To evaluate the clinical significance of quadratus femoris muscle signal changes (QFMC) on MRI. METHODS: 204 consecutive bilateral MRI hip examinations (132 female, 72 male) were reviewed in retrospect for QFMC. Inclusion imaging parameters were edema or atrophy of the quadratus femoris muscle. The presence or absence of symptoms and additional ipsilateral and/or contralateral imaging findings were used to differentiate between isolated symptomatic, co-incidental and asymptomatic QFMC...
March 2014: JBR-BTR: Organe de la Société Royale Belge de Radiologie (SRBR)
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
Junya Sakamoto, Yosuke Morimoto, Shun Ishii, Jiro Nakano, Yoshitaka Manabe, Minoru Okita, Toshiyuki Tsurumoto
[Purpose] The aim of this study was to examine the incidence and patterns of referred pain in patients with hip disease, as well as the nerve distribution in the hip and knee joints of 2 cadavers. [Subjects and Methods] A total of 113 patients with hip joint disease were included in the investigation. The incidence of regional pain and referred pain patterns were evaluated before and after arthroplasty. Two cadavers were macroscopically observed to verify the nerve innervation of the hip and knee joints. [Results] Anterior knee pain was observed preoperatively in 13...
February 2014: Journal of Physical Therapy Science
Julio Ramírez, Isaac Pomés, Beatriz Sobrino-Guijarro, Jaume Pomés, Raimón Sanmartí, Juan D Cañete
Although greater trochanter pain syndrome (GTPS) is a prevalent cause of musculoskeletal pain in the general population, there is lack of imaging studies searching for differential features of inflammatory enthesitis in GTPS. We analyzed the features of GTPS using sonography and magnetic resonance imaging (MRI) to identify useful differential signs between spondyloarthritis (SpA) and other inflammatory or non-inflammatory musculoskeletal diseases. All patients with unilateral GTPS attended by our Arthritis Unit between February 2011 and March 2012 were included...
July 2014: Rheumatology International
Chloe Ansari Moein, Henk-Jan ten Duis, Liam Oey, Gerard de Kort, Wout van der Meulen, Karin Vermeulen, Christiaan van der Werken
OBJECTIVES: This study was performed to explore the relationship between entry point-related soft tissue damage in antegrade femoral nailing and the functional outcome in patients with a proximal third femoral shaft fracture. DESIGN: Retrospective clinical trial. SETTING: Level I university trauma center. PATIENTS: Seventeen patients with a high femoral shaft fracture treated with an antegrade femoral nail joined the study...
April 2011: Journal of Orthopaedic Trauma
Benjamin G Domb, Rima Michel Nasser, Itamar B Botser
Tears in the gluteus medius and minimus tendons, often misdiagnosed as trochanteric bursitis, have recently emerged as an important cause of recalcitrant greater trochanter pain syndrome. Advances in endoscopic surgery of the hip have created opportunities to better evaluate and treat pathology in the peritrochanteric compartment. We reviewed the literature on trochanteric pain syndrome and gluteus medius tendon injuries. Existing techniques for endoscopic and open gluteus tendon repair and potential challenges in restoration of abductor function were analyzed...
December 2010: Arthroscopy: the Journal of Arthroscopic & related Surgery
Hervé Bard
Tendinopathy of the gluteus medius tendon is the main cause of great trochanter pain syndrom. Recent clinical, ultrasonographic and MRI study, allow to distinguish anterior lesions which concern the lateral part of the gluteus medius tendon, almost always associated with tendinopathy of the gluteus minimus tendon, from tendinopathy of the main tendon of the gluteus medius. Tears of the main tendon of the gluteus medius are the serious disabling consequence of that pathology and must be avoid by early medical and functional treatment with very moderate use of intrabursal corticosteroid injections...
April 20, 2009: La Revue du Praticien
Jan D Rompe, Neil A Segal, Angelo Cacchio, John P Furia, Antonio Morral, Nicola Maffulli
BACKGROUND: There are no controlled studies testing the efficacy of various nonoperative strategies for treatment of greater trochanter pain syndrome. Hypothesis The null hypothesis was that local corticosteroid injection, home training, and repetitive low-energy shock wave therapy produce equivalent outcomes 4 months from baseline. STUDY DESIGN: Randomized controlled clinical trial; Level of evidence, 2. METHODS: Two hundred twenty-nine patients with refractory unilateral greater trochanter pain syndrome were assigned sequentially to a home training program, a single local corticosteroid injection (25 mg prednisolone), or a repetitive low-energy radial shock wave treatment...
October 2009: American Journal of Sports Medicine
Donna G Blankenbaker, Steven R Ullrick, Kirkland W Davis, Arthur A De Smet, Ben Haaland, Jason P Fine
OBJECTIVE: Greater trochanter pain syndrome due to tendinopathy or bursitis is a common cause of hip pain. The previously reported magnetic resonance (MR) findings of trochanteric tendinopathy and bursitis are peritrochanteric fluid and abductor tendon abnormality. We have often noted peritrochanteric high T2 signal in patients without trochanteric symptoms. The purpose of this study was to determine whether the MR findings of peritrochanteric fluid or hip abductor tendon pathology correlate with trochanteric pain...
October 2008: Skeletal Radiology
Michel Lequesne, Patrick Djian, Valérie Vuillemin, Philippe Mathieu
OBJECTIVES: (1) To compare MRI and surgical findings in patients with refractory greater trochanter pain syndrome and (2) to assess surgical outcomes. METHODS: All consecutive patients seen between 2002 and 2006 by a single clinician were selected for surgical treatment according to the following criteria: (1) tendinopathy confirmed by physical tests; (2) painful disability persisting for at least 6 months despite treatment; (3) on MRI: area of high signal intensity on T2-weighted images, in the area of gluteus medius and/or minimus tendon; and (4) absence of marked muscle atrophy or fatty degeneration...
July 2008: Joint, Bone, Spine: Revue du Rhumatisme
M Lequesne, P Mathieu, V Vuillemin-Bodaghi, H Bard, P Djian
OBJECTIVE: To evaluate the value (sensitivity and specificity) of 2 modified physical tests for the diagnosis of gluteal tendinopathy in patients with refractory greater trochanter pain syndrome (GTPS). METHODS: The 2 tests were prospectively evaluated by a single physician in all consecutive patients with persistent (> or =4 months) GTPS and no hip joint arthropathy seen on radiography between 2002 and 2006. The 2 tests evaluated the occurrence of pain similar to spontaneous pain during a single-leg stance held for 30 seconds and resisted external derotation in a supine position (hip flexed 90 degrees ) then prone position (hip extended)...
February 15, 2008: Arthritis and Rheumatism
Roy A Craig, David P Gwynne Jones, Andrew P Oakley, John D Dunbar
BACKGROUND: Trochanteric bursitis or greater trochanter pain syndrome (GTPS) is a frequent cause of lateral hip pain. This article reports our experience with a new method of Z-lengthening of the iliotibial band for refractory GTPS. METHODS: Fifteen patients (17 hips) were diagnosed with GTPS unresponsive to conservative treatment including steroid injection. Fourteen patients were women. The average age was 60 years and average duration of symptoms was 4.7 years...
November 2007: ANZ Journal of Surgery
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