[Greater trochanteric pain syndrome]
H Gollwitzer1, G Opitz, L Gerdesmeyer
1Klinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaningerstraße 22, 81675, München, Deutschland, info@drgollwitzer.de.
Der Orthopade
|January 14, 2014
Summary
Greater trochanteric pain syndrome, a common orthopedic issue, involves various conditions like bursitis and tendon issues. Diagnosis and non-surgical treatments are highly effective, with surgery reserved for resistant cases.
Area of Science:
- Orthopedics
- Musculoskeletal disorders
Context:
- Greater trochanteric pain is a frequent orthopedic complaint.
- Differential diagnoses include myofascial pain, bursitis, gluteal tendon pathology, and nerve entrapment syndromes.
Purpose:
- To summarize essential diagnostic and therapeutic strategies for greater trochanteric pain syndrome.
- To outline the approach to identifying underlying pathologies and guiding treatment selection.
Summary:
- Clinical evaluation, imaging, and diagnostic injections are key to determining the cause of pain.
- Nonsurgical treatments achieve high success rates (>90%) for most patients.
- Surgical intervention is considered for refractory cases and tendon ruptures.
Impact:
- Provides a framework for accurate diagnosis and effective management of greater trochanteric pain.
- Highlights the efficacy of nonsurgical interventions, potentially reducing the need for surgery.
- Offers guidance for optimizing patient outcomes and functional recovery in orthopedic pain management.
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