Epidemiology Bursitis trochanterica

Epidemiology Bursitis trochanterica “greater trochanteric pain syndrome”

bursitis trochanterica Trochanteric bursitis represents the clinical syndrome of bursitis of the hip.1,9
Incidence In primary care settings, the incidence of greater trochanteric pain is reported to be around 1.8 patients per 1000 per year.2
Prevalence Greater trochanteric pain syndrome (GTPS) is estimated to affect between 10% and 25% of the population in industrialized societies.2,3,8
Sex The disorder is more common in women than in men 4:13-7
Age The incidence of this disorder will peak between 40 and 60 years.1
Pain location Greater trochanter of the hip
Pain sensation / Symptoms The clinical symptoms are usually chronic pain and tenderness of the lateral side of the affected hip.1

Other symptoms, such as worsening of pain while lying on the affected side or while climbing stairs may also be present.

History of injury Because TB can result from friction between the bursae and GT, it frequently occurs with overuse or trauma, especially falls.1,11

True bursal inflammation (bursitis) may result from either chronic microtrauma, regional muscle dysfunction, overuse or acute injury.1,11,12

Physical exam In addition to the symptom of sensitivity over the lateral aspect of the affected hip, there are more specific signs in order to determine the syndrome.

Symptoms of inflammation, erythema, edema and rubor, are uncommon.1,10

Literature
  1. Shbeeb MI, Matteson EL. Trochanteric bursitis (greater trochanter pain syndrome). Mayo Clin Proc 1996; 71: 565-9.
  2. Lievense A, Bierma-Zeinstra S, Schouten B, Bohnen A, Verhaar J, Koes B. Prognosis of trochanteric pain in primary care. Br J Gen Pract 2005;55:199–204
  3. Segal NA, Felson DT, Torner JC, Zhu Y, Curtis JR, Niu J, Nevitt MC. Greater trochanteric pain syndrome: epidemiology and associated factors. Arch Phys Med Rehabil 2007;88:988–92
  4. Tortolani PJ, Carbone JJ, Quartararo LG. Greater trochanteric pain syndrome in patients referred to orthopedic spine specialists. Spine J 2002;2:251–4
  5. Anderson TP. Trochanteric bursitis: diagnostic criteria and clinical significance. Arch Phys Med Rehabil 1958;39:617–22
  6. Krout RM, Anderson TP. Trochanteric bursitis: management. Arch Phys Med Rehabil 1959;40:8–14
  7. Silva F, Adams T, Feinstein J, Arroyo RA. Trochanteric bursitis: refuting the myth of inflammation. J Clin Rheumatol 2008;14:82–6
  8. Collee G, Dijkmans BA, Vandenbroucke JP, Cats A. Greater trochanteric pain syndrome (trochanteric bursitis) in low back pain. Scand J Rheumatol 1991;20:262–6
  9. Alvarez-Nemegyei J, Canoso JJ. Evidence-based soft tissue rheumatology: III: trochanteric bursitis. J Clin Rheumatol 2004;10:123–4
  10. Paluska SA. An overview of hip injuries in running. Sports Med 2005;35:991–1014
  11. Jones DL, Erhard RE. Diagnosis of trochanteric bursitis versus femoral neck stress fracture. Phys Ther 1997;77:58–67
  12. Johnston CA, Wiley JP, Lindsay DM, Wiseman DA. Iliopsoas bursitis and tendinitis. A review. Sports Med 1998;25:271-83

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