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Related Concept Videos

Ultrasonography01:17

Ultrasonography

Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called a...

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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
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Lateral hip pain: does imaging predict response to localized injection?

Peter Walker1, Siri Kannangara, Warwick J M Bruce

  • 1Department of Orthopaedic Surgery, Concord Hospital, Sydney, Australia.

Clinical Orthopaedics and Related Research
|December 30, 2006
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Summary

Lateral hip pain is often linked to lower back issues. Scintigraphy effectively diagnoses gluteus medius tendinitis and trochanteric bursitis, with lumbar disease predicting pain relapse after injections.

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Area of Science:

  • Orthopedics
  • Radiology
  • Pain Management

Background:

  • Lateral hip pain is a frequent complaint, often misdiagnosed as trochanteric bursitis.
  • Patients with lower back pain from spinal disease commonly experience lateral hip pain.

Purpose of the Study:

  • To establish scintigraphic criteria for diagnosing gluteus medius tendinitis and trochanteric bursitis.
  • To investigate the relationship between trochanteric bursitis, gluteus medius tendinitis, and lumbar degenerative disease.
  • To identify predictors of pain relapse following corticosteroid injections.

Main Methods:

  • Evaluated 97 patients with greater trochanteric pain syndrome.
  • Utilized scintigraphy and magnetic resonance imaging (MRI) to assess hip and spine conditions.
  • Analyzed patient response to local anesthetic/glucocorticoid injections.

Main Results:

  • Confirmed a correlation between lumbar degenerative disease, gluteus medius tendinopathy, and trochanteric bursitis.
  • 63% of patients (30/48) responded positively to injections.
  • Moderate to severe lumbar degenerative disease on scintigraphy was a key predictor of pain recurrence post-injection.

Conclusions:

  • Scintigraphy offers sensitive and specific diagnoses for gluteus medius tendinitis and trochanteric bursitis.
  • Lumbar degenerative disease plays a significant role in greater trochanteric pain syndrome and post-injection outcomes.
  • A mechanistic model is proposed to explain the interrelationship of these conditions and treatment responses.