Greater Trochanteric Pain Syndrome

Area of Science:

• Orthopedic Surgery
• Musculoskeletal Disorders

Background:

• Lateral hip pain often diagnosed as trochanteric bursitis.
• Standard treatments (NSAIDs, injections, PT) are insufficient for some patients.
• Increased understanding of peritrochanteric space disorders.

Purpose of the Study:

• To provide a comprehensive overview of greater trochanteric pain syndrome (GTPS).
• To highlight the importance of anatomical and imaging knowledge in GTPS management.
• To discuss current and future treatment options for GTPS.

Main Methods:

• Review of current literature on GTPS.
• Analysis of anatomical structures within the peritrochanteric space.
• Discussion of diagnostic findings and imaging characteristics.
• Overview of surgical interventions.

Main Results:

• GTPS is a spectrum of conditions including trochanteric bursitis, external coxa saltans, and abductor tendinopathy.
• Accurate diagnosis relies on understanding anatomy, clinical examination, and imaging.
• Non-surgical treatments fail in a significant patient subset.

Conclusions:

• GTPS requires a nuanced approach beyond traditional trochanteric bursitis diagnosis.
• Comprehensive understanding of the peritrochanteric region is crucial for effective patient care.
• Surgical options, both open and endoscopic, are available for refractory cases.