Global InformationGreater trochanteric pain syndrome information
 | This article needs more reliable medical references for verification or relies too heavily on primary sources. (September 2017) |  |
| Greater trochanteric pain syndrome | |
|---|---|
| Other names | Trochanteric bursitis |
| Treatment | Amplified musculoskeletal pain syndrome |
Greater trochanteric pain syndrome (GTPS), a form of bursitis, is inflammation of the trochanteric bursa, a part of the hip.
This bursa is at the top, outer side of the femur, between the insertion of the gluteus medius and gluteus minimus muscles into the greater trochanter of the femur and the femoral shaft. It has the function, in common with other bursae, of working as a shock absorber and as a lubricant for the movement of the muscles adjacent to it.[citation needed]
Occasionally, this bursa can become inflamed and clinically painful and tender. This condition can be a manifestation of an injury (often resulting from a twisting motion or from overuse), but sometimes arises for no obviously definable cause. The symptoms are pain in the hip region on walking, and tenderness over the upper part of the femur, which may result in the inability to lie in comfort on the affected side.[citation needed]
More often the lateral hip pain is caused by disease of the gluteal tendons that secondarily inflames the bursa. This is most common in middle-aged women and is associated with a chronic and debilitating pain which does not respond to conservative treatment. Other causes of trochanteric bursitis include uneven leg length, iliotibial band syndrome, and weakness of the hip abductor muscles.[1]
Greater trochanteric pain syndrome can remain incorrectly diagnosed for years, because it shares the same pattern of pain with many other musculoskeletal conditions. Thus people with this condition may be labeled malingerers, or may undergo many ineffective treatments due to misdiagnosis.[2] It may also coexist with low back pain, arthritis, and obesity.[3]
- ^ Trochanteric Bursitis at eMedicine
- ^ Dougherty C, Dougherty JJ (August 27, 2008). "Evaluating hip pathology in trochanteric pain syndrome". The Journal of Musculoskeletal Medicine. Archived from the original on July 27, 2009. Retrieved August 27, 2009.
- ^ Williams BS, Cohen SP (2009). "Greater Trochanteric Pain Syndrome: A Review of Anatomy, Diagnosis and Treatment". Anesthesia & Analgesia. 108 (5): 1662–1670. doi:10.1213/ane.0b013e31819d6562. PMID 19372352. S2CID 5521326.