Hip Abductor and Peritrochanteric Space Conditions

Area of Science:

• Orthopedics
• Sports Medicine
• Musculoskeletal Disorders

Background:

• The peritrochanteric space contains the hip trochanteric bursa, gluteal muscle insertions, and vastus lateralis origin.
• Greater trochanteric pain syndrome (GTPS) is characterized by pain originating from these structures.
• GTPS can stem from trochanteric bursitis, gluteus medius/minimus tendinopathy or tears, and iliotibial band issues.

Purpose of the Study:

• To summarize the key anatomical structures and pathologies associated with GTPS.
• To highlight the potential for coexisting intra-articular hip pathology in GTPS patients.
• To review the reported midterm outcomes of surgical interventions for GTPS.

Main Methods:

• Literature review of anatomical structures of the peritrochanteric space.
• Analysis of clinical presentations and diagnostic considerations for GTPS.
• Evaluation of surgical treatment outcomes (open and endoscopic approaches) for GTPS.

Main Results:

• Successful midterm outcomes have been documented for surgical GTPS management.
• Both open and endoscopic surgical techniques have demonstrated efficacy.
• Associated intra-articular hip pathologies require careful assessment and management.

Conclusions:

• GTPS encompasses various disorders within the peritrochanteric space.
• Surgical intervention offers promising midterm results for GTPS.
• Comprehensive evaluation, including intra-articular pathology, is crucial for effective GTPS treatment.