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Related Experiment Video

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High-throughput Fluorometric Measurement of Potential Soil Extracellular Enzyme Activities
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[Not Available].

U Dorn1, F Landauer1, T Hofstaedter1

  • 1Univ.-Klinik für Orthopädie, PMU Salzburg, Österreich.

Zeitschrift Fur Orthopadie Und Unfallchirurgie
|June 29, 2016
PubMed
Summary

Gluteal tendinopathy and tears were previously underestimated causes of hip pain, often misdiagnosed as bursitis. Current understanding and advanced imaging highlight tendinous pathologies as key to greater trochanteric pain syndrome (GTPS).

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Musculoskeletal Imaging

Background:

  • Gluteal tendinopathy and tendon tears were historically underestimated causes of chronic hip pain, often misdiagnosed as trochanteric bursitis.
  • The concept of

Purpose of the Study:

  • To re-evaluate the etiology of greater trochanteric pain syndrome (GTPS).
  • To emphasize the role of gluteal tendinopathy and tears in GTPS.
  • To discuss current diagnostic and therapeutic approaches for gluteal tendinopathies.

Main Methods:

  • Review of literature on gluteal tendinopathies and greater trochanteric pain syndrome.
  • Discussion of diagnostic modalities including ultrasound and MRI.
  • Analysis of treatment outcomes for conservative and surgical interventions.

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Main Results:

  • Gluteal tendinopathy and tears are significant contributors to GTPS, affecting 10-25% of the adult population.
  • Ultrasound and MRI are reliable for diagnosing tendinous and bursal pathologies, with MRI showing findings in 88% of patients with trochanteric pain.
  • While conservative treatments like corticosteroid injections and physical therapy are effective for early stages, surgery may be required for refractory cases.

Conclusions:

  • Greater trochanteric pain syndrome (GTPS) encompasses a spectrum of gluteal tendinous pathologies beyond bursitis.
  • Accurate diagnosis using imaging is crucial for effective management of GTPS.
  • Both conservative and surgical treatments, including newer endoscopic techniques, offer viable options for managing gluteal tendinopathies.