Greater Trochanteric Pain Syndrome

Department of Diagnostic Radiology, Innsbruck Medical University, Innsbruck, Austria.
Seminars in Musculoskeletal Radiology (Impact Factor: 1.4). 03/2013; 17(1):43-8. DOI: 10.1055/s-0033-1333913


Pain around the greater trochanter is still a common clinical problem that may be secondary to a variety of either intra-articular or periarticular pathologies. Gluteal tendon pathologies are one of the primary causes of greater trochanteric pain, with attrition of the fasciae latae against the gluteus medius and minimus tendons, and the trochanteric bursa being possible causes. Key sonographic findings of gluteal tendinopathy, bursitis, and differential diagnosis are described in this overview. Clinical diagnosis and treatment of greater trochanteric pain syndrome is still challenging; therefore ultrasound is helpful to localize the origin of pain, determine underlying pathology, and, based on these findings, to guide local aspiration and/or injection in cases of tendinopathy and/or bursitis.

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    • "Although a great variety of causes, e.g. trochanteric bursitis, iliotibial tract friction or coxa vara, are known to be attributed to greater trochanteric pain syndrom, we place our focus on lesions of the hip abductors as one of the primary causes of pain in the lateral hip region [2]–[4]. "
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