Greater Trochanteric Pain Syndrome

Greater trochanteric pain syndrome (GTPS) is a common problem that is both debilitating and challenging to manage. In the past, the terms GTPS and greater trochanteric bursitis were used interchangeably, however, inflammation is not always a feature, and in fact, overuse or injury of the gluteal muscles may be the predominant feature. GTPS is now understood to involve multiple pathologies that affect the intra-articular or peri-articular spaces of the hip. Early detection and management of GTPS by GPs can improve patients’ quality of life. Currently, the use of corticosteroid injection therapy and imaging in the management of GTPS may be suboptimal. The aim of this article is to review the current management of GTPS, evidence for the efficacy and duration of action of corticosteroid injection therapy and the role of imaging techniques in the diagnosis and management of GTPS, including the ability to identify pathology and predict treatment response.

[1]  A. Urquhart,et al.  Greater Trochanteric Pain Syndrome , 2016, Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine.

[2]  J. Lee,et al.  Imaging and management of greater trochanteric pain syndrome , 2014, Postgraduate Medical Journal.

[3]  E. M. Shanahan,et al.  Greater trochanteric pain syndrome: does imaging-identified pathology influence the outcome of interventions? , 2014, International journal of rheumatic diseases.

[4]  J. S. Keene,et al.  Ultrasound-guided corticosteroid injections for treatment of greater trochanteric pain syndrome: greater trochanter bursa versus subgluteus medius bursa. , 2013, AJR. American journal of roentgenology.

[5]  S. Cha,et al.  Efficacy of musculoskeletal injections by primary care providers in the office: a retrospective cohort study , 2013, International journal of general medicine.

[6]  C. Hing,et al.  A systematic review of imaging modalities in the diagnosis of greater trochanteric pain syndrome. , 2012, Musculoskeletal care.

[7]  V. Denaro,et al.  Management of the greater trochanteric pain syndrome: a systematic review. , 2012, British medical bulletin.

[8]  T. Best,et al.  Efficacy of Treatment of Trochanteric Bursitis: A Systematic Review , 2011, Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine.

[9]  B. Koes,et al.  Corticosteroid Injections for Greater Trochanteric Pain Syndrome: A Randomized Controlled Trial in Primary Care , 2011, The Annals of Family Medicine.

[10]  Paul N. Smith,et al.  Does Ultrasound Correlate with Surgical or Histologic Findings in Greater Trochanteric Pain Syndrome? A Pilot Study , 2010, Clinical orthopaedics and related research.

[11]  N. Maffulli,et al.  Home Training, Local Corticosteroid Injection, or Radial Shock Wave Therapy for Greater Trochanter Pain Syndrome , 2009, The American journal of sports medicine.

[12]  Steven P. Cohen,et al.  Greater Trochanteric Pain Syndrome: A Review of Anatomy, Diagnosis and Treatment , 2009, Anesthesia and analgesia.

[13]  Steven P. Cohen,et al.  Comparison of fluoroscopically guided and blind corticosteroid injections for greater trochanteric pain syndrome: multicentre randomised controlled trial , 2009, BMJ : British Medical Journal.

[14]  F. Randall,et al.  Should hospices be exempt from following national cardiopulmonary resuscitation guidelines? No , 2009, British medical journal.

[15]  F. O’Connor,et al.  Musculoskeletal injections: a review of the evidence. , 2008, American family physician.

[16]  M. Nevitt,et al.  Greater trochanteric pain syndrome: epidemiology and associated factors. , 2007, Archives of physical medicine and rehabilitation.

[17]  W. Bruce,et al.  Lateral Hip Pain: Does Imaging Predict Response to Localized Injection? , 2006, Clinical orthopaedics and related research.

[18]  S P Cohen,et al.  Corticosteroid injections for trochanteric bursitis: is fluoroscopy necessary? A pilot study: 108. , 2004, Regional Anesthesia & Pain Medicine.

[19]  B. Kirkham,et al.  Prospective evaluation of magnetic resonance imaging and physical examination findings in patients with greater trochanteric pain syndrome. , 2001, Arthritis and rheumatism.

[20]  E. Matteson,et al.  Trochanteric bursitis (greater trochanter pain syndrome). , 1996, Mayo Clinic proceedings.

[21]  B. Leduc,et al.  Effectiveness of ultrasound-guided corticosteroid injection for the treatment of gluteus medius tendinopathy. , 2010, AJR. American journal of roentgenology.